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

Louisiana 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 Louisiana, July 2026.

Insurers have agreed to pay about $8.71 for this service. The price depends on where it is billed: about $8.71 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 5 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$8.71$7.24 to $9.55
FacilityA hospital or hospital-owned outpatient department$11.22$9.55 to $21.88

How much rates vary

Facilitymedian $11 · 10th to 90th $6 to $34Professionalmedian $9 · 10th to 90th $4 to $11
$5$10$20$50$100$200facility $11professional $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
$7.76
Median
$9.55
Typical High
$9.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.71
Typical High
$11.75
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$19.95
Typical High
$27.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$218.78
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$5.25
Typical High
$6.76
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$6.31
Typical High
$8.13

Where Louisiana 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.

Louisiana· 31st 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.