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Ostomy Barrier with Flange, Flat, over 4x4

Tennessee 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?

$5.01

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $5.01 for this service. Most negotiated rates run $4.27 to $6.46.

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.

How much rates vary

Facilitymedian $5 · 10th to 90th $5 to $5Professionalmedian $5 · 10th to 90th $4 to $43
$5$10$20$50facility $5professional $5

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.37
Median
$5.13
Typical High
$7.24
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.65
Median
$0.78
Typical High
$1.10
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.43
Median
$0.52
Typical High
$0.72
BCBS
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$6.46
Typical High
$6.46
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.01
Median
$5.01
Typical High
$5.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.27
Median
$4.27
Typical High
$5.01
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$64.57
Typical High
$64.57
United
Setting
Professional
Modifier
None
Typical Low
$2.40
Median
$3.89
Typical High
$4.79

Where Tennessee sits

The same service costs 2.1 times more in Idaho than in Colorado. 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.

Tennessee· 35th of 51

$5.01

ID $8.91CO $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.