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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 October 2026.

How much does Ostomy Pouch, Drainable, One-Piece, Extended Wear, Convex cost?

$9.55

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $8.13 from a physician practice, and about $219 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8.13$6.76 to $9.77
FacilityA hospital or hospital-owned outpatient department$219$19.95 to $219

How much rates vary

Facilitymedian $219 · 10th to 90th $10 to $219Professionalmedian $8 · 10th to 90th $5 to $10
$5$10$20$50$100$200facility $219professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$7.76
Median
$7.76
Typical High
$9.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$9.55
Typical High
$10.72
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.15
Median
$1.41
Typical High
$1.58
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.78
Median
$0.95
Typical High
$1.07
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$20.42
Typical High
$28.84
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Christus
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$8.13
Median
$8.13
Typical High
$8.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$6.92
Typical High
$8.13
United
Setting
Professional
Modifier
None
Typical Low
$3.80
Median
$6.31
Typical High
$8.13

Where Louisiana sits

The same service costs 2.1 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· 21st of 51

$9.55

HI $14.79CO $6.92

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.