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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 October 2026.

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

$14.79

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $14.79 for this service. Most negotiated rates run $14.13 to $15.14.

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 $11 · 10th to 90th $8 to $11Professionalmedian $15 · 10th to 90th $13 to $15
$10facility $11professional $15

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
$6.76
Median
$6.76
Typical High
$6.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$10.96
Typical High
$10.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
HMSA
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.79
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$14.13
Typical High
$18.20
United
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$15.14
Typical High
$15.14
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$11.48
Typical High
$13.18

Where Hawaii sits

The same service costs 2.1 times more in Idaho than in Delaware. 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

$14.79

ID $14.79DE $7.08

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.