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Hawaii rates for HCPCS A4391

Ostomy pouch, urinary, with extended wear barrier attached (one piece), each

Facilitymedian $6 · 10th–90th $3$90%20%10th90th$6Professionalmedian $7 · 10th–90th $4$110%20%10th90th$7$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
$3.98 / $5.01 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $6.31 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $10.00 / $13.49
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $11.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.96 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.80 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $6.03 / $11.75