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Hawaii rates for HCPCS A4377

Ostomy pouch, drainable, for use on faceplate, plastic, each

Facilitymedian $2 · 10th–90th $2–$50%20%10th90th$2Professionalmedian $3 · 10th–90th $2–$70%20%10th90th$3$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $6.03 / $8.13
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.61 / $7.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.29 / $2.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.63 / $7.08