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Ostomy Pouch, Drainable, One-Piece, Extended Wear, Convex

Colorado rates for HCPCS A4390

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

Rates data updated July 2026.

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

$6.76

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $6.76 for this service. The price depends on where it is billed: about $6.03 from a physician practice, and about $9.55 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 7 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$6.03$5.75 to $8.13
FacilityA hospital or hospital-owned outpatient department$9.55$5.75 to $13.49

How much rates vary

Facilitymedian $10 · 10th to 90th $4 to $17Professionalmedian $6 · 10th to 90th $6 to $10
$5$10$20$50facility $10professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$10.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.89
Typical High
$8.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.92
Typical High
$12.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$12.02
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$10.00
Typical High
$18.62
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$3.72
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.80
Typical High
$21.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$25.12
Typical High
$28.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$13.80
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$6.17
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.75
Typical High
$8.51

Where Colorado 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.

Colorado· 51st of 51

$6.76

HI $14.79CO $6.76

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.