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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 October 2026.

How much does Ostomy Barrier with Flange, Flat, over 4x4 cost?

$6.17

Typical negotiated rate. In Arkansas, October 2026.

Insurers have agreed to pay about $6.17 for this service. Most negotiated rates run $4.27 to $10.72.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5 · 10th to 90th $5 to $7Professionalmedian $6 · 10th to 90th $4 to $11
$2$5$10facility $5professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$6.76
Typical High
$6.76
Ambetter
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.01
Median
$5.01
Typical High
$5.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.45
Median
$4.27
Typical High
$5.01
Qualchoice
Setting
Professional
Modifier
None
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
United
Setting
Professional
Modifier
None
Typical Low
$2.75
Median
$3.89
Typical High
$6.03
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.68
Median
$0.68
Typical High
$0.68

Where Arkansas sits

The same service costs 2.1 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arkansas· 19th of 51

$6.17

HI $8.91DE $4.27

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.