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Ostomy Barrier with Flange, Flat, over 4x4

North Dakota 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 $6 · 10th–90th $5$100%50%10th90th$6Professionalmedian $8 · 10th–90th $3$100%20%10th90th$8$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
$5.37
Median
$6.03
Typical High
$6.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$5.37
Typical High
$32.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$9.12
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$9.77
Typical High
$12.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$7.24
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.89
Typical High
$8.32
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
United
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$5.13
Typical High
$9.77