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Ostomy Barrier with Flange, Flat, over 4x4

Iowa 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 $7 · 10th–90th $3$210%10%10th90th$7Professionalmedian $7 · 10th–90th $4$110%10%10th90th$7$5.0$10.0$20.0$50.0$100.0

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
$5.01
Median
$6.03
Typical High
$7.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.76
Typical High
$7.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$9.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$9.77
Typical High
$12.30
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.47
Typical High
$12.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$9.55
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$5.13
Typical High
$14.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.77
Typical High
$10.96
Midlands
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$14.13
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$3.80
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.17
Typical High
$7.94
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.92
Typical High
$6.92