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Hawaii rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Facilitymedian $5 · 10th–90th $3–$60%20%10th90th$5Professionalmedian $5 · 10th–90th $3–$80%20%10th90th$5$2.0$5.0$10.0

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
$3.02 / $3.98 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $5.75 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $7.24 / $9.77
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $8.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.76 / $9.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.95 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.68 / $8.51