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Ostomy Pouch, Urinary, Extended Wear, Convexity, Faucet Tap

Hawaii rates for HCPCS A4430

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

Rates data updated October 2026.

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

$12.59

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $12.59 for this service. Most negotiated rates run $12.02 to $13.18.

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 $9 · 10th to 90th $8 to $9Professionalmedian $13 · 10th to 90th $9 to $13
$10facility $9professional $13

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
$5.75
Median
$5.75
Typical High
$5.75
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.59
Median
$9.33
Typical High
$9.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
HMSA
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$12.02
Typical High
$12.59
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$12.02
Typical High
$15.85
United
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$13.18
Typical High
$13.18
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$10.00
Typical High
$11.22

Where Hawaii sits

The same service costs 2.1 times more in Hawaii than in Delaware. 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· 1st of 51

$12.59

HI $12.59DE $6.03

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.