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Hawaii rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Facilitymedian $2 · 10th–90th $1–$30%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$1.0$2.0$5.0

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
$1.00 / $2.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.95 / $3.98
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $3.24 / $4.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.23 / $2.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $3.16 / $3.89