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Hawaii rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Facilitymedian $3 · 10th–90th $2–$40%20%10th90th$3Professionalmedian $3 · 10th–90th $2–$50%20%10th90th$3$1.0$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
$2.00 / $3.02 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.63 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $4.90 / $6.61
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $5.37 / $6.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $2.00 / $2.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.16 / $5.75