go back

Hawaii rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $1.90 / $1.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $4.29
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $4.08 / $4.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $3.90 / $5.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $3.09 / $4.29
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $3.24 / $3.71