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

Washington, DC rates for HCPCS A4393

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (one piece), each

Rates data updated October 2026.

How much does Ostomy Pouch, Urinary, One-Piece, Extended Wear, Convex cost?

$8.51

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $8.51 for this service. Most negotiated rates run $6.76 to $8.91.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $9 · 10th to 90th $8 to $9Professionalmedian $9 · 10th to 90th $6 to $11
$5$10facility $9professional $9

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
Facility
Modifier
None
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.17
Median
$8.51
Typical High
$10.96
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.91
Median
$1.29
Typical High
$1.66
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.62
Median
$0.85
Typical High
$1.10
CareFirst
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$8.51
Typical High
$8.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$6.46
Typical High
$7.59
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$10.96
Typical High
$25.12
United
Setting
Professional
Modifier
None
Typical Low
$4.17
Median
$6.76
Typical High
$12.88

Where Washington, DC sits

The same service costs 2.1 times more in Idaho than in Connecticut. 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.

Washington, DC· 24th of 51

$8.51

ID $13.49CT $6.46

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.