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

Washington, DC 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?

$9.12

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

Insurers have agreed to pay about $9.12 for this service. Most negotiated rates run $7.08 to $9.12.

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 $9 · 10th to 90th $9 to $9Professionalmedian $9 · 10th to 90th $6 to $9
$5$10facility $9professional $9

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
$9.12
Median
$9.12
Typical High
$9.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.12
Typical High
$9.12
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$8.32
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.75
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$6.76
Typical High
$12.30

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· 24th of 51

$9.12

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.