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Ostomy Barrier with Flange, Flat, over 4x4

Hawaii rates for HCPCS A4415

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

Rates data updated October 2026.

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

$8.91

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $8.91 for this service. Most negotiated rates run $8.51 to $9.12.

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 $7 · 10th to 90th $5 to $7Professionalmedian $9 · 10th to 90th $8 to $9
$5$10facility $7professional $9

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
$4.07
Median
$4.07
Typical High
$4.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.37
Median
$6.61
Typical High
$6.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
HMSA
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$8.51
Typical High
$8.91
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$8.51
Typical High
$11.22
United
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$9.12
Typical High
$9.12
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$6.92
Typical High
$7.94

Where Hawaii sits

The same service costs 2.1 times more in Hawaii 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· 1st of 51

$8.91

HI $8.91DE $4.27

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.