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

Georgia 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?

$8.71

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $8.71 for this service. The price depends on where it is billed: about $9.12 from a physician practice, and about $8.51 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$9.12$7.59 to $11.22
FacilityA hospital or hospital-owned outpatient department$8.51$6.31 to $8.51

How much rates vary

Facilitymedian $9 · 10th to 90th $4 to $9Professionalmedian $9 · 10th to 90th $7 to $13
$0.1$0.5$2$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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.51
Typical High
$11.75
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$11.22
Typical High
$17.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$18.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$16.22
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$13.80
Typical High
$17.78
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$5.25
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$6.46
Typical High
$13.18

Where Georgia 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.

Georgia· 30th of 51

$8.71

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.