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Ostomy Pouch, Drainable, High Output, Extended Wear Barrier

Hawaii rates for HCPCS A4435

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

Rates data updated July 2026.

How much does Ostomy Pouch, Drainable, High Output, Extended Wear Barrier cost?

$4.47

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $4.47 for this service. Most negotiated rates run $4.07 to $5.37.

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 $3 · 10th to 90th $3 to $7Professionalmedian $4 · 10th to 90th $4 to $9
$2$5$10facility $3professional $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
$4.07
Median
$4.07
Typical High
$4.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$6.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$7.94
Typical High
$10.72
HMSA
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.71
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$2.69
Typical High
$3.16
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.37
Typical High
$10.72

Where Hawaii sits

The same service costs 2.1 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· 48th of 51

$4.47

KS $8.51CO $4.07

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.