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Ostomy Barrier with Flange, Flat, over 4x4

Oregon 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 $8 · 10th–90th $7$80%50%10th90th$8Professionalmedian $6 · 10th–90th $3$90%10%10th90th$6$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
Professional
Modifier
Global
Typical Low
$2.45
Median
$4.37
Typical High
$6.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$15.49
Typical High
$17.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.76
Typical High
$8.71
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.76
Typical High
$9.12
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$8.13
Typical High
$8.32
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$8.32
Typical High
$9.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$7.41
Typical High
$10.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$7.94
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.33
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$3.31
Typical High
$5.37
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.55
Typical High
$6.76