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Ostomy Barrier with Flange, Flat, over 4x4

Massachusetts 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 $7 · 10th–90th $4$790%20%10th90th$7Professionalmedian $7 · 10th–90th $4$110%20%40%10th90th$7$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$3.63
Median
$3.63
Typical High
$3.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.37
Typical High
$12.88
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$8.13
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$6.92
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$5.01
Typical High
$6.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$5.89
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$10.96
Health New England
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Health New England
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$8.13
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$6.92
Typical High
$10.23
United
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$3.80
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$6.76
Typical High
$7.41