go back

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

Kansas 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 $13 · 10th–90th $3$140%20%40%10th90th$13Professionalmedian $13 · 10th–90th $6$130%50%10th$13$5.0$10.0$20.0$50.0

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
$13.49
Median
$13.49
Typical High
$13.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$7.59
Typical High
$13.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.88
Typical High
$13.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$14.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$9.12
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$6.31
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$12.88
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.03
Typical High
$9.12