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Hawaii rates for HCPCS A4389

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

Facilitymedian $3 · 10th–90th $3–$70%20%10th90th$3Professionalmedian $6 · 10th–90th $3–$100%10%10th90th$6$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
$3.02 / $5.01 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.75 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $8.71 / $11.75
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $10.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $9.55 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $3.39 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.25 / $10.23