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

Idaho 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?

$9.77

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $12.59 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 8 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$9.77$7.59 to $15.14
FacilityA hospital or hospital-owned outpatient department$12.59$8.51 to $13.80

How much rates vary

Facilitymedian $13 · 10th to 90th $5 to $20Professionalmedian $10 · 10th to 90th $4 to $18
$5$10$20facility $13professional $10

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
Professional
Modifier
Global
Typical Low
$3.98
Median
$9.12
Typical High
$18.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$12.88
Typical High
$21.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$15.14
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$9.55
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$12.59
Typical High
$18.20
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.88
Typical High
$13.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$14.45
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$15.14
Select Health
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$20.42
Select Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.88
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$5.25
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.75
Typical High
$7.76

Where Idaho 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.

Idaho· 19th of 51

$9.77

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.