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Indiana rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Facilitymedian $7 · 10th–90th $3–$80%20%10th90th$7Professionalmedian $5 · 10th–90th $3–$70%20%10th90th$5$2.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $8.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.47 / $8.51
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $10.96 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.24 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.98 / $6.03