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Ostomy Barrier, Solid 4x4, Extended Wear, Flat

Hawaii rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Rates data updated July 2026.

How much does Ostomy Barrier, Solid 4x4, Extended Wear, Flat cost?

$7.76

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $7.76 for this service. Most negotiated rates run $3.98 to $7.76.

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.

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $6Professionalmedian $8 · 10th to 90th $3 to $8
$2$5$10facility $3professional $8

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
Professional
Modifier
Global
Typical Low
$1.95
Median
$3.47
Typical High
$3.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.57
Typical High
$6.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$7.24
Typical High
$9.55
HMSA
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$8.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.76
Typical High
$10.96
United
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.40
Typical High
$2.75
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$5.01
Typical High
$9.55

Where Hawaii sits

The same service costs 2.4 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.

Hawaii· 1st of 51

$7.76

HI $7.76CO $3.24

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.