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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 July 2026.

Facilitymedian $8 · 10th–90th $3$850%20%40%10th90th$8Professionalmedian $5 · 10th–90th $3$70%20%10th90th$5$5.0$10.0$20.0$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
$4.37
Median
$4.90
Typical High
$7.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.25
Typical High
$7.24
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$5.01
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$63.10
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.80
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$3.89
Typical High
$4.90