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Nationwide rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Facilitymedian $6 · 10th–90th $3$180%20%10th90th$6Professionalmedian $5 · 10th–90th $3$90%50%10th90th$5$0.1$1.0$20.0$500.0$10.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.98 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.68 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.25 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $12.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.31 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $4.17 / $7.41