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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 October 2026.

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

$12.59

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $12.59 for this service. Most negotiated rates run $9.77 to $13.18.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10 · 10th to 90th $8 to $10Professionalmedian $13 · 10th to 90th $9 to $13
$10facility $10professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$3.39
Median
$3.39
Typical High
$6.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.76
Median
$9.77
Typical High
$9.77
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
HMSA
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$13.18
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$12.59
Typical High
$16.22
United
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$13.49
Typical High
$13.49
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$8.71
Typical High
$8.71

Where Hawaii sits

The same service costs 2.0 times more in Montana than in Florida. 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

$12.59

MT $12.88FL $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.