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

Iowa 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?

$10.72

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $10.72 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $11.22 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$10.72$8.13 to $11.75
FacilityA hospital or hospital-owned outpatient department$11.22$8.51 to $14.79

How much rates vary

Facilitymedian $11 · 10th to 90th $6 to $34Professionalmedian $11 · 10th to 90th $7 to $17
$5$10$20$50facility $11professional $11

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
$7.94
Median
$9.77
Typical High
$11.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.72
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$15.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$15.49
Typical High
$19.05
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$13.49
Typical High
$17.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$15.14
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.13
Typical High
$22.39
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.49
Typical High
$17.38
Midlands
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$22.39
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$6.17
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.76
Typical High
$12.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.96
Typical High
$10.96

Where Iowa 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.

Iowa· 15th of 51

$10.72

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.