go back

Ostomy Barrier with Flange, Flat, over 4x4

New Jersey 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 $4 · 10th–90th $3$90%50%10th90th$4Professionalmedian $5 · 10th–90th $3$70%10%10th90th$5$0.1$0.5$2.0$10.0

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
$4.07
Median
$4.07
Typical High
$4.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$4.07
Typical High
$7.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$5.01
Typical High
$5.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$5.01
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$7.59
Typical High
$11.22
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
United
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$3.98
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.79
Typical High
$8.13