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

Florida rates for HCPCS A4390

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

Rates data updated October 2026.

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

$7.76

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $7.76 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $8.13 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.59$6.76 to $9.77
FacilityA hospital or hospital-owned outpatient department$8.13$8.13 to $8.13

How much rates vary

Facilitymedian $8 · 10th to 90th $8 to $9Professionalmedian $8 · 10th to 90th $6 to $14
$5$10$20$50facility $8professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$6.03
Median
$9.77
Typical High
$10.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$9.55
Typical High
$10.23
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.91
Median
$1.45
Typical High
$1.51
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.62
Median
$0.98
Typical High
$1.02
AvMed
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$10.96
Typical High
$13.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$8.13
Median
$8.13
Typical High
$8.51
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$6.92
Typical High
$8.13
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$8.13
Median
$13.80
Typical High
$13.80
Molina
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$7.94
Typical High
$8.71
United
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$6.76
Typical High
$34.67
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$7.94
Typical High
$13.80

Where Florida sits

The same service costs 2.1 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.

Florida· 37th of 51

$7.76

HI $14.79CO $6.92

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.