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

Hawaii rates for HCPCS A4410

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 in, each

Rates data updated October 2026.

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

$12.88

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $12.88 for this service. Most negotiated rates run $9.12 to $13.80.

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 $14
$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
$6.17
Median
$6.17
Typical High
$6.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$10.00
Typical High
$10.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
HMSA
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$13.49
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$12.88
Typical High
$16.60
United
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$13.80
Typical High
$13.80
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$9.12
Typical High
$9.12

Where Hawaii sits

The same service costs 2.1 times more in Idaho than in New Jersey. 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· 3rd of 51

$12.88

ID $13.49NJ $6.46

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.