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Ostomy Barrier with Flange, Flat, over 4x4

New York 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 $5 · 10th–90th $4$120%10%20%10th90th$5Professionalmedian $5 · 10th–90th $4$120%20%40%10th90th$5$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$3.63
Median
$5.13
Typical High
$9.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$5.13
Typical High
$7.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.90
Typical High
$12.59
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.92
Typical High
$6.92
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.37
Typical High
$11.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$5.89
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$14.13
Typical High
$33.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.51
Typical High
$16.22
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$4.79
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.03
Typical High
$6.03
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$8.13
Typical High
$9.55
United
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$3.80
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$5.62
Typical High
$14.13
Univera
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$6.03
Typical High
$6.03
Univera
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.03
Typical High
$6.03