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Ostomy Barrier with Flange, Flat, over 4x4

Alaska 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 $3 · 10th–90th $2$90%20%40%10th90th$3Professionalmedian $8 · 10th–90th $2$130%20%10th90th$8$5.0$10.0$20.0$50.0

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
Professional
Modifier
Global
Typical Low
$2.45
Median
$6.31
Typical High
$8.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$9.12
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$6.03
Typical High
$8.51
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.51
Typical High
$27.54
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$8.13
Typical High
$8.13
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.13
Typical High
$8.51
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$8.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$6.17
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$3.24
Typical High
$3.24
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.17
Typical High
$16.98