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

New Mexico 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?

$8.51

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $8.51 for this service. The price depends on where it is billed: about $8.51 from a physician practice, and about $9.33 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$8.51$6.92 to $10.72
FacilityA hospital or hospital-owned outpatient department$9.33$5.75 to $12.02

How much rates vary

Facilitymedian $9 · 10th to 90th $4 to $14Professionalmedian $9 · 10th to 90th $4 to $14
$5$10$20$50facility $9professional $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
$9.77
Median
$9.77
Typical High
$9.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$9.55
Typical High
$58.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.72
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$19.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.49
Typical High
$23.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$9.77
Typical High
$15.14
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.75
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.75
Typical High
$8.51

Where New Mexico 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.

New Mexico· 33rd of 51

$8.51

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.