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Ostomy Barrier with Flange, Flat, over 4x4

Florida 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 $4$70%20%40%10th90th$6Professionalmedian $6 · 10th–90th $4$70%10%10th90th$6$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
Facility
Modifier
Global
Typical Low
$3.80
Median
$6.03
Typical High
$6.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$6.03
Typical High
$7.41
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$5.50
AvMed
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.92
Typical High
$8.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$11.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$5.01
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$5.37
Typical High
$8.13
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$5.13
Typical High
$8.51
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.07
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$3.80
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.07
Typical High
$5.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$8.51