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Ostomy Pouch, Closed, with Barrier Attached (One Piece)

Hawaii rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Closed, with Barrier Attached (One Piece) cost?

$2.95

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $2.95 for this service. Most negotiated rates run $1.62 to $2.95.

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 $1 · 10th to 90th $1 to $2Professionalmedian $3 · 10th to 90th $1 to $3
$1$2facility $1professional $3

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
$1.41
Median
$1.41
Typical High
$1.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$2.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.69
Typical High
$3.63
HMSA
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$3.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.95
Typical High
$4.07
United
Setting
Facility
Modifier
Global
Typical Low
$0.95
Median
$0.98
Typical High
$1.12
United
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$2.04
Typical High
$3.63

Where Hawaii sits

The same service costs 2.2 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· 2nd of 51

$2.95

KS $3.16CO $1.41

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.