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Ostomy Barrier with Flange, Flat, over 4x4

Idaho 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 $3$130%20%10th90th$8Professionalmedian $6 · 10th–90th $2$110%10%20%10th90th$6$5.0$10.0$20.0

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
$5.62
Typical High
$11.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$7.94
Typical High
$13.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$9.33
Typical High
$9.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$5.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$8.13
Typical High
$11.48
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.13
Typical High
$8.51
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$9.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.71
Typical High
$21.38
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$8.13
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$3.24
Typical High
$5.37
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.55
Typical High
$4.47