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Hawaii rates for HCPCS A4381

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

Facilitymedian $4 · 10th–90th $2–$50%20%10th90th$4Professionalmedian $4 · 10th–90th $2–$70%20%10th90th$4$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 / $3.24 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $6.46 / $8.71
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $8.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.51 / $2.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.89 / $7.59