go back

Ostomy Barrier with Flange, Flat, over 4x4

Arizona 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 $8 · 10th–90th $2$180%10%10th90th$8Professionalmedian $5 · 10th–90th $2$90%10%20%10th90th$5$0.1$0.5$2.0$10.0$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
$5.01
Typical High
$7.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$9.55
Typical High
$18.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.91
Typical High
$17.78
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
$5.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$6.61
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.55
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$3.31
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.55
Typical High
$5.37