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Ostomy Pouch, Drainable, One-Piece, Convex

New Mexico 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?

$6.17

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $6.17 for this service. The price depends on where it is billed: about $5.25 from a physician practice, and about $21.88 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 6 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$4.47 to $6.92
FacilityA hospital or hospital-owned outpatient department$21.88$6.46 to $50.12

How much rates vary

Facilitymedian $22 · 10th to 90th $4 to $72Professionalmedian $5 · 10th to 90th $3 to $9
$10$100$1K$10K$100Kfacility $22professional $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
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$5.25
Typical High
$38.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$46.77
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.92
Typical High
$8.32
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
$12.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.71
Typical High
$15.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$6.46
Typical High
$9.77
Providence
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$9.12
United
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$3.72
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.72
Typical High
$5.50

Where New Mexico 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.

New Mexico· 21st of 51

$6.17

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.