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

Kentucky 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?

$6.92

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $6.92 for this service. The price depends on where it is billed: about $7.08 from a physician practice, and about $6.92 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 6 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$7.08$6.76 to $8.51
FacilityA hospital or hospital-owned outpatient department$6.92$6.92 to $18.20

How much rates vary

Facilitymedian $7 · 10th to 90th $5 to $19Professionalmedian $7 · 10th to 90th $6 to $11
$0.1$0.5$2.0$10.0$50.0facility $7professional $7

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
$6.92
Median
$6.92
Typical High
$7.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$8.32
Typical High
$11.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$7.24
CareSource
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$18.20
Typical High
$23.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.60
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$18.62
Typical High
$18.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$9.55
Typical High
$66.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.00
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$5.25
Typical High
$6.31
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.46
Typical High
$8.32

Where Kentucky sits

The same service costs 2.2 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $6.92 · 48th of 51
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.