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Ostomy Pouch, Closed, Nonlocking Flange, with Filter

Hawaii rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Closed, Nonlocking Flange, with Filter cost?

$2.45

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $2.45 for this service. Most negotiated rates run $1.35 to $2.45.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $2 · 10th to 90th $1 to $3
$1$2facility $1professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$1.20
Median
$1.20
Typical High
$1.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$1.55
Typical High
$1.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.24
Typical High
$3.02
HMSA
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$2.57
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.45
Typical High
$3.47
United
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$0.81
Typical High
$0.93
United
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.70
Typical High
$3.02

Where Hawaii sits

The same service costs 2.5 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· 3rd of 51

$2.45

KS $2.95CO $1.20

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.