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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 October 2026.

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

$6.61

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $6.61 for this service. The price depends on where it is billed: about $6.03 from a physician practice, and about $6.76 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$6.03$4.17 to $6.61
FacilityA hospital or hospital-owned outpatient department$6.76$6.76 to $7.59

How much rates vary

Facilitymedian $7 · 10th to 90th $5 to $8Professionalmedian $6 · 10th to 90th $4 to $7
$5$10facility $7professional $6

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
$7.24
Median
$8.51
Typical High
$8.51
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.24
Median
$7.24
Typical High
$8.51
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.10
Median
$1.10
Typical High
$1.29
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.72
Median
$0.72
Typical High
$0.85
Ambetter
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$6.76
Median
$6.76
Typical High
$7.59
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
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
Molina
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$8.51
Typical High
$1,995.26
United
Setting
Professional
Modifier
None
Typical Low
$2.75
Median
$3.89
Typical High
$5.13

Where Mississippi 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.

Mississippi· 16th of 51

$6.61

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.