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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 October 2026.

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

$2.63

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $2.63 for this service. Most negotiated rates run $2.04 to $2.75.

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

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
$0.71
Median
$0.71
Typical High
$1.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$1.66
Median
$2.04
Typical High
$2.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
HMSA
Setting
Professional
Modifier
None
Typical Low
$2.63
Median
$2.63
Typical High
$2.75
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1.86
Median
$2.63
Typical High
$3.47
United
Setting
Professional
Modifier
None
Typical Low
$1.86
Median
$2.82
Typical High
$2.82
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$1.86
Median
$1.86
Typical High
$1.86

Where Hawaii sits

The same service costs 2.3 times more in Kansas than in New Jersey. 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· 4th of 51

$2.63

KS $3.09NJ $1.32

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.