go back

Virginia rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Facilitymedian $6 · 10th–90th $5$140%20%10th90th$6Professionalmedian $5 · 10th–90th $3$80%20%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $5.01 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $8.71
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $5.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.51 / $12.02
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $6.03 / $8.91
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $6.03 / $10.23
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.13 / $5.62
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $7.59 / $29.51
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.41 / $24.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.24 / $4.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.17 / $6.61