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Ostomy Pouch, Drainable, One-Piece, Convex

Washington, DC 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?

$5.89

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $5.89 for this service. Most negotiated rates run $4.57 to $5.89.

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 $6 · 10th to 90th $6 to $6Professionalmedian $6 · 10th to 90th $4 to $6
$5$10facility $6professional $6

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
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.89
Typical High
$5.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$6.03
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
$5.37
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$7.59
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.37
Typical High
$7.94

Where Washington, DC 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.

Washington, DC· 25th of 51

$5.89

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.