go back

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

South Carolina 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?

$10.72

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $10.72 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $10.72 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 7 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$10.72$7.41 to $11.22
FacilityA hospital or hospital-owned outpatient department$10.72$8.91 to $13.18

How much rates vary

Facilitymedian $11 · 10th to 90th $6 to $18Professionalmedian $11 · 10th to 90th $6 to $12
$5$10$20facility $11professional $11

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
$10.72
Median
$10.72
Typical High
$10.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$10.72
Typical High
$11.75
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$12.30
Typical High
$13.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$17.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$8.13
Typical High
$8.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$15.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$8.71
Medcost
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$12.30
Typical High
$21.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$4.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$5.25
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$6.46
Typical High
$8.71

Where South Carolina 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.

South Carolina· 14th of 51

$10.72

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.