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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.

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

$8.32

Typical negotiated rate. In Georgia, 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 $7.94 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 6 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$7.08 to $10.47
FacilityA hospital or hospital-owned outpatient department$7.94$6.31 to $7.94

How much rates vary

Facilitymedian $8 · 10th to 90th $4 to $8Professionalmedian $8 · 10th to 90th $6 to $12
$0.1$0.5$2$10facility $8professional $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
$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

Where Georgia sits

The same service costs 2.0 times more in Kansas 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.

Georgia· 28th of 51

$8.32

KS $12.88CO $6.31

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.