go back

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 October 2026.

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

$7.94

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $7.94 for this service. The price depends on where it is billed: about $7.94 from a physician practice, and about $6.03 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.94$6.03 to $9.33
FacilityA hospital or hospital-owned outpatient department$6.03$6.03 to $6.17

How much rates vary

Facilitymedian $6 · 10th to 90th $5 to $18Professionalmedian $8 · 10th to 90th $4 to $10
$5$10$20$50facility $6professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$6.03
Typical High
$6.17
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$9.33
Typical High
$9.55
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$8.51
Median
$11.22
Typical High
$11.22
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$9.77
Typical High
$12.30
Medica
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$6.03
Typical High
$79.43
Medica
Setting
Professional
Modifier
None
Typical Low
$3.31
Median
$3.98
Typical High
$6.76
United
Setting
Professional
Modifier
None
Typical Low
$2.75
Median
$3.98
Typical High
$6.76

Where North Dakota 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.

North Dakota· 8th of 51

$7.94

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.