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Ostomy Pouch, Drainable, Barrier with Flange

Hawaii rates for HCPCS A5063

Ostomy pouch, drainable; for use on barrier with flange (two-piece system), each

Rates data updated October 2026.

How much does Ostomy Pouch, Drainable, Barrier with Flange cost?

$3.89

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $3.89 for this service. Most negotiated rates run $2.69 to $4.17.

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 $3 · 10th to 90th $2 to $3Professionalmedian $4 · 10th to 90th $2 to $4
$2$5facility $3professional $4

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
$1.05
Median
$1.05
Typical High
$1.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.40
Median
$3.02
Typical High
$3.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.17
Median
$4.17
Typical High
$4.17
HMSA
Setting
Professional
Modifier
None
Typical Low
$3.89
Median
$3.89
Typical High
$4.07
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$2.69
Median
$3.89
Typical High
$5.01
United
Setting
Professional
Modifier
None
Typical Low
$2.69
Median
$4.17
Typical High
$4.17
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$2.24
Median
$2.24
Typical High
$2.24

Where Hawaii sits

The same service costs 2.1 times more in Idaho than in New Jersey. 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· 4th of 51

$3.89

ID $4.07NJ $1.95

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.