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

Hawaii rates for HCPCS A4393

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

Rates data updated July 2026.

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

$12.88

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $12.88 for this service. Most negotiated rates run $7.08 to $12.88.

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 $5 · 10th to 90th $4 to $10Professionalmedian $13 · 10th to 90th $6 to $13
$5$10facility $5professional $13

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
$6.17
Median
$6.17
Typical High
$7.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.94
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$11.75
Typical High
$15.85
HMSA
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$13.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.88
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.27
Typical High
$4.90
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.91
Typical High
$15.85

Where Hawaii sits

The same service costs 2.0 times more in Kansas 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· 2nd of 51

$12.88

KS $12.88CO $6.31

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.