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

Virginia 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?

$8.32

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $8.32 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $10.47 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 8 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$8.32$6.76 to $9.55
FacilityA hospital or hospital-owned outpatient department$10.47$8.91 to $13.80

How much rates vary

Facilitymedian $10 · 10th to 90th $8 to $23Professionalmedian $8 · 10th to 90th $6 to $13
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $10professional $8

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
$8.32
Median
$8.32
Typical High
$9.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$8.32
Typical High
$10.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$14.13
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
$8.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$8.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.80
Typical High
$19.05
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.55
Typical High
$14.45
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$9.77
Typical High
$16.22
Medcost
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$8.32
Typical High
$8.91
Sentara
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$12.02
Typical High
$46.77
Sentara
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.75
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$5.25
Typical High
$6.92
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.76
Typical High
$10.47

Where Virginia 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.

Virginia $8.32 · 37th 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.