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Ostomy Barrier with Flange, Flat, over 4x4

Arkansas 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 $398,107 · 10th–90th $7$933,2540%10%20%10th90th$398,107Professionalmedian $5 · 10th–90th $2$70%20%40%10th90th$5$2.0$20.0$200.0$2.0K$20.0K$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
$6.76
Median
$6.76
Typical High
$6.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$6.31
Typical High
$7.24
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$5.01
Typical High
$9.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.27
Typical High
$5.37
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
United
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$3.55
Typical High
$5.37
United
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.80
Typical High
$5.37