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

Delaware 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?

$8.32

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $8.32 for this service. Most negotiated rates run $6.61 to $11.75.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8 · 10th to 90th $4 to $9Professionalmedian $8 · 10th to 90th $7 to $51
$5$10$20$50facility $8professional $8

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
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.32
Typical High
$51.29
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
$8.51
United
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$6.17
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$7.08
Typical High
$10.00

Where Delaware 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.

Delaware· 36th of 51

$8.32

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.