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Ostomy Barrier with Flange, Flat, over 4x4

Kentucky 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 $4 · 10th–90th $3$120%20%10th90th$4Professionalmedian $4 · 10th–90th $4$70%20%10th90th$4$0.1$0.5$2.0$10.0

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
$4.27
Median
$4.27
Typical High
$4.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.13
Typical High
$7.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$4.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$11.22
Typical High
$14.79
CareSource
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.47
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$11.75
Typical High
$11.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.89
Typical High
$41.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.61
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$3.24
Typical High
$3.98
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$4.07
Typical High
$5.25