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

Rhode Island 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?

$7.08

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $7.08 for this service. Most negotiated rates run $5.50 to $8.51.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $27 · 10th to 90th $19 to $31Professionalmedian $7 · 10th to 90th $5 to $11
$5$10$20facility $27professional $7

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$8.71
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.83
Median
$0.83
Typical High
$1.29
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.55
Median
$0.55
Typical High
$0.85
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$19.50
Median
$26.92
Typical High
$30.90
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$7.08
Typical High
$10.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$6.92
Typical High
$8.13
United
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$7.76
Typical High
$11.22

Where Rhode Island 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.

Rhode Island· 46th of 51

$7.08

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.