go back

Ostomy Barrier with Flange, Flat, over 4x4

Montana 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.

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

$7.24

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $7.24 for this service. The price depends on where it is billed: about $7.24 from a physician practice, and about $8.13 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.24$3.89 to $8.13
FacilityA hospital or hospital-owned outpatient department$8.13$6.46 to $8.71

How much rates vary

Facilitymedian $8 · 10th to 90th $5 to $10Professionalmedian $7 · 10th to 90th $3 to $36
$5$10$20$50facility $8professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$6.76
Typical High
$36.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$8.71
Typical High
$8.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$8.71
Typical High
$8.71
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$8.13
Typical High
$15.85
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.13
Typical High
$15.85
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$7.76
Typical High
$10.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.71
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$3.24
Typical High
$3.24
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.55
Typical High
$4.79

Where Montana sits

The same service costs 2.0 times more in Hawaii than in Colorado. 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.

Montana· 10th of 51

$7.24

HI $8.51CO $4.17

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.