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

Maryland 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 Maryland, July 2026.

Insurers have agreed to pay about $8.71 for this service. Most negotiated rates run $6.92 to $9.12.

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.

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $14Professionalmedian $9 · 10th to 90th $6 to $12
$0.1$0.5$2.0$10.0$50.0facility $5professional $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
Professional
Modifier
Global
Typical Low
$5.89
Median
$8.91
Typical High
$11.75
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.33
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
$8.91
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$13.80
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$5.25
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$6.76
Typical High
$10.72
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$11.75

Where Maryland 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.

Maryland $8.71 · 27th 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.