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Ostomy Barrier with Flange, Flat, over 4x4

Nebraska 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 $9 · 10th–90th $3$790%20%10th90th$9Professionalmedian $5 · 10th–90th $3$70%20%40%10th90th$5$0.1$0.5$2.0$10.0$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
$6.92
Median
$6.92
Typical High
$6.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$5.50
Typical High
$6.92
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$8.13
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.37
Typical High
$9.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$9.77
Typical High
$17.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$11.75
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$4.17
Typical High
$8.32
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$22.39
Midlands
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$20.89
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$5.13
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.98
Typical High
$6.61