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Hawaii rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Facilitymedian $1 · 10th–90th $1–$30%20%10th90th$1Professionalmedian $2 · 10th–90th $1–$40%20%10th90th$2$1.0$2.0$5.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.82 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.55 / $4.79
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.89 / $4.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.45 / $1.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.29 / $4.17