go back

Ostomy Pouch, Drainable, Locking Flange, with Filter

Hawaii rates for HCPCS A4427

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

Rates data updated July 2026.

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

$3.98

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $3.98 for this service. Most negotiated rates run $2.19 to $3.98.

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 $2 · 10th to 90th $1 to $3Professionalmedian $4 · 10th to 90th $2 to $4
$2$5facility $2professional $4

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
$1.91
Median
$1.91
Typical High
$2.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.51
Typical High
$3.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.63
Typical High
$4.90
HMSA
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$4.17
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.98
Typical High
$5.62
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.32
Typical High
$1.51
United
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.75
Typical High
$4.79

Where Hawaii sits

The same service costs 2.3 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· 2nd of 51

$3.98

KS $4.47CO $1.91

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.