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Ostomy Barrier with Flange, Flat, over 4x4

Mississippi 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 $3$90%20%10th90th$7Professionalmedian $7 · 10th–90th $3$90%10%20%10th90th$7$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
$7.24
Median
$8.51
Typical High
$8.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$6.76
Typical High
$8.51
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$7.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$5.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.51
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$3.24
Typical High
$4.47
United
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.98
Typical High
$6.03