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Ostomy Pouch, Drainable, Nonlocking Flange, with Filter

Hawaii rates for HCPCS A4425

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

Rates data updated October 2026.

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

$5.37

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $5.37 for this service. Most negotiated rates run $5.13 to $5.50.

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 $4 · 10th to 90th $3 to $4Professionalmedian $5 · 10th to 90th $4 to $5
$5facility $4professional $5

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
$2.45
Median
$2.45
Typical High
$2.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.16
Median
$3.98
Typical High
$3.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
HMSA
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$5.13
Typical High
$5.37
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$5.13
Typical High
$6.61
United
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$5.50
Typical High
$5.50
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.55

Where Hawaii sits

The same service costs 2.3 times more in Kansas than in Connecticut. 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

$5.37

KS $6.03CT $2.57

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.