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Ostomy Barrier with Flange, Flat, over 4x4

Illinois 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.

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

$5.62

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $5.62 for this service. The price depends on where it is billed: about $5.62 from a physician practice, and about $8.51 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.62$4.68 to $7.08
FacilityA hospital or hospital-owned outpatient department$8.51$4.68 to $21.38

How much rates vary

Facilitymedian $9 · 10th to 90th $5 to $45Professionalmedian $6 · 10th to 90th $4 to $9
$5$10$20$50$100facility $9professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$8.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.13
Typical High
$8.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$21.88
Typical High
$72.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$6.46
Typical High
$6.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$9.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$9.12
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.22
Typical High
$16.60
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$7.08
United
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$8.51
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$4.17
Typical High
$7.41

Where Illinois sits

The same service costs 2.0 times more in Hawaii than in Colorado. 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.

Illinois· 24th of 51

$5.62

HI $8.51CO $4.17

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.