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Ostomy Barrier with Flange, Extended Wear, Convex, over 4x4

Hawaii rates for HCPCS A4408

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

Rates data updated July 2026.

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

$14.13

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $14.13 for this service. Most negotiated rates run $7.76 to $14.13.

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 $11Professionalmedian $14 · 10th to 90th $7 to $15
$5$10facility $5professional $14

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
$6.76
Median
$6.76
Typical High
$7.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$10.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.88
Typical High
$17.38
HMSA
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.79
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$14.13
Typical High
$19.50
United
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$4.68
Typical High
$5.37
United
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$9.77
Typical High
$17.38

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

$14.13

HI $14.13CO $6.92

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.