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Hawaii rates for HCPCS A4393

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

Facilitymedian $8 · 10th–90th $4$100%20%10th90th$8Professionalmedian $9 · 10th–90th $5$130%20%10th90th$9$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
$5.01 / $7.08 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.94 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $11.75 / $15.85
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $13.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.88 / $14.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.90 / $4.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.76 / $13.80