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Hawaii rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Facilitymedian $3 · 10th–90th $3–$70%20%10th90th$3Professionalmedian $4 · 10th–90th $3–$60%20%10th90th$4$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $7.94 / $10.72
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $8.71 / $10.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.09 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.37 / $9.33