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Ostomy Barrier with Flange, Flat, up to 4x4

Hawaii rates for HCPCS A4414

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

Rates data updated October 2026.

How much does Ostomy Barrier with Flange, Flat, up to 4x4 cost?

$7.41

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $7.41 for this service. Most negotiated rates run $7.08 to $7.59.

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 $5 · 10th to 90th $4 to $5Professionalmedian $7 · 10th to 90th $5 to $8
$5facility $5professional $7

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
$3.39
Median
$3.39
Typical High
$3.39
Cigna
Setting
Facility
Modifier
None
Typical Low
$4.47
Median
$5.50
Typical High
$5.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
HMSA
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$7.41
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$7.08
Typical High
$9.12
United
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$7.59
Typical High
$7.59
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$4.90
Typical High
$4.90

Where Hawaii sits

The same service costs 2.1 times more in Kansas 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· 2nd of 51

$7.41

KS $7.41CO $3.55

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.