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Ostomy Barrier with Flange, Flat, over 4x4

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $3$180%20%10th90th$6Professionalmedian $5 · 10th–90th $4$90%20%40%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
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$5.37
Typical High
$8.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.37
Typical High
$7.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$3.98
Typical High
$10.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.57
Typical High
$9.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.25
Typical High
$32.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$3.80
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$4.17
Typical High
$7.59