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Ostomy Barrier with Flange, Flat, over 4x4

Vermont 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?

$5.13

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $5.13 for this service. Most negotiated rates run $4.27 to $6.31.

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 4 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 $7
$5$10$20facility $5professional $5

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$5.62
Typical High
$7.94
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.01
Median
$5.37
Typical High
$5.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.27
Median
$4.27
Typical High
$4.79
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$6.61
Typical High
$8.13
United
Setting
Professional
Modifier
None
Typical Low
$3.02
Median
$6.31
Typical High
$16.98

Where Vermont sits

The same service costs 2.1 times more in Hawaii than in Delaware. 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.

Vermont· 32nd of 51

$5.13

HI $8.91DE $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.