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Ostomy Barrier with Flange, Flat, over 4x4

Louisiana 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 $6 · 10th–90th $4$160%20%10th90th$6Professionalmedian $5 · 10th–90th $3$70%20%10th90th$5$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
$4.79
Median
$5.89
Typical High
$5.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.89
Typical High
$7.24
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$12.59
Typical High
$17.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$5.01
Typical High
$5.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$7.94
United
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$3.24
Typical High
$4.27
United
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.89
Typical High
$5.13