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

Georgia rates for HCPCS A4393

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

Rates data updated July 2026.

Facilitymedian $8 · 10th–90th $4$80%50%10th$8Professionalmedian $8 · 10th–90th $6$120%20%10th90th$8$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.94
Typical High
$10.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$10.47
Typical High
$16.60
CareSource
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$17.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$15.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.88
Typical High
$19.95
United
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$5.01
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.03
Typical High
$12.30