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Ostomy Pouch, Closed, Locking Flange, with Filter

Hawaii rates for HCPCS A4423

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

Rates data updated July 2026.

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

$2.63

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $2.63 for this service. Most negotiated rates run $1.45 to $2.63.

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

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
$1.26
Median
$1.26
Typical High
$1.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.66
Typical High
$2.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$2.40
Typical High
$3.24
HMSA
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.75
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$2.63
Typical High
$3.72
United
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$0.87
Typical High
$1.00
United
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.82
Typical High
$3.24

Where Hawaii sits

The same service costs 2.4 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

$2.63

KS $3.09CO $1.29

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.