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Ostomy Barrier with Flange, Flat, over 4x4

West 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

Rates data updated July 2026.

How much does Ostomy Barrier with Flange, Flat, over 4x4 cost?

$5.13

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $5.13 for this service. The price depends on where it is billed: about $5.13 from a physician practice, and about $4.57 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.13$4.57 to $5.37
FacilityA hospital or hospital-owned outpatient department$4.57$4.57 to $4.57

How much rates vary

Facilitymedian $5 · 10th to 90th $5 to $11Professionalmedian $5 · 10th to 90th $4 to $6
$5$10$20facility $5professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$4.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.13
Typical High
$5.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$5.50
Typical High
$11.22
CareSource
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$10.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$11.75
Typical High
$11.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$41.69
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
United
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$3.24
Typical High
$5.50
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.79
Typical High
$7.24

Where West Virginia sits

The same service costs 2.0 times more in Hawaii 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.

West Virginia· 37th of 51

$5.13

HI $8.51CO $4.17

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.