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Ostomy Barrier with Flange, Flat, over 4x4

Missouri 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$170%20%10th90th$7Professionalmedian $5 · 10th–90th $4$100%20%10th90th$5$1.0$2.0$5.0$10.0$20.0$50.0

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
$3.63
Median
$8.32
Typical High
$8.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.37
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.47
Typical High
$7.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$8.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$5.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$7.08
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$4.17
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$5.37
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.17
Typical High
$6.31