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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 October 2026.

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

$5.37

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $5.37 for this service. The price depends on where it is billed: about $5.01 from a physician practice, and about $11.22 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.01$4.17 to $6.03
FacilityA hospital or hospital-owned outpatient department$11.22$6.76 to $14.13

How much rates vary

Facilitymedian $11 · 10th to 90th $5 to $17Professionalmedian $5 · 10th to 90th $3 to $6
$5$10$20facility $11professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4.79
Median
$4.79
Typical High
$5.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.79
Median
$5.89
Typical High
$6.61
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.72
Median
$0.89
Typical High
$1.00
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.48
Median
$0.59
Typical High
$0.66
Ambetter
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$7.24
Median
$12.59
Typical High
$17.78
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Christus
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.01
Median
$5.01
Typical High
$5.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.27
Median
$4.27
Typical High
$5.01
United
Setting
Professional
Modifier
None
Typical Low
$2.34
Median
$3.89
Typical High
$5.13

Where Louisiana sits

The same service costs 2.1 times more in Hawaii than in Delaware. 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.

Louisiana· 23rd of 51

$5.37

HI $8.91DE $4.27

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.