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Hawaii rates for HCPCS A4392

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (one piece), each

Facilitymedian $7 · 10th–90th $4–$90%10%10th90th$7Professionalmedian $8 · 10th–90th $4–$120%20%10th90th$8$5.0$10.0$20.0

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 / $6.03 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $7.59 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.72 / $14.45
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $12.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.75 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $4.37 / $4.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $6.92 / $12.59