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Ostomy Pouch, Drainable, One-Piece, Convex

Arizona rates for HCPCS A4389

Ostomy pouch, drainable, with barrier attached, with built-in convexity (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Drainable, One-Piece, Convex cost?

$5.25

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $5.25 for this service. The price depends on where it is billed: about $5.25 from a physician practice, and about $8.51 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.25$3.72 to $6.61
FacilityA hospital or hospital-owned outpatient department$8.51$3.72 to $12.02

How much rates vary

Facilitymedian $9 · 10th to 90th $2 to $19Professionalmedian $5 · 10th to 90th $3 to $9
$5$10$20$50facility $9professional $5

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$5.25
Typical High
$7.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$9.77
Typical High
$19.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.12
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$5.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$6.76
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$3.72
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$3.47
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.72
Typical High
$5.50

Where Arizona sits

The same service costs 2.2 times more in Hawaii 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.

Arizona· 41st of 51

$5.25

HI $9.55CO $4.37

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.