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Ostomy Barrier with Flange, Extended Wear, Convex, up to 4x4

Hawaii rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Rates data updated July 2026.

How much does Ostomy Barrier with Flange, Extended Wear, Convex, up to 4x4 cost?

$12.59

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $12.59 for this service. Most negotiated rates run $6.92 to $12.59.

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
$5.0$10.0$20.0facility $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
$3.39
Median
$6.03
Typical High
$6.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.76
Typical High
$9.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$11.48
Typical High
$15.49
HMSA
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$13.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.59
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$4.07
Typical High
$4.79
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$8.71
Typical High
$15.14

Where Hawaii sits

The same service costs 2.3 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $12.59 · 1st of 51
HI $12.59CO $5.50

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.