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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Hawaii rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Rates data updated October 2026.

How much does Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap cost?

$9.77

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $9.77 for this service. Most negotiated rates run $9.33 to $10.00.

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 $7 · 10th to 90th $6 to $7Professionalmedian $10 · 10th to 90th $9 to $10
$5$10facility $7professional $10

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
$4.47
Median
$4.47
Typical High
$4.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.75
Median
$7.24
Typical High
$7.24
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
HMSA
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$9.33
Typical High
$9.77
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$9.33
Typical High
$12.02
United
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$10.00
Typical High
$10.00
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$7.41
Median
$7.59
Typical High
$8.71

Where Hawaii sits

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

$9.77

KS $10.72AL $4.68

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.