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Ostomy Pouch, Urinary, One-Piece, Standard Wear, Convex

Hawaii rates for HCPCS A4392

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

Rates data updated July 2026.

How much does Ostomy Pouch, Urinary, One-Piece, Standard Wear, Convex cost?

$11.75

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $11.75 for this service. Most negotiated rates run $6.46 to $11.75.

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 $4 · 10th to 90th $4 to $9Professionalmedian $12 · 10th to 90th $6 to $12
$5$10facility $4professional $12

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
$5.62
Median
$5.62
Typical High
$6.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$7.59
Typical High
$9.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.72
Typical High
$14.45
HMSA
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$12.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.75
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$3.80
Typical High
$4.47
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$8.13
Typical High
$14.13

Where Hawaii sits

The same service costs 2.0 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

$11.75

HI $11.75CO $5.75

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.