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

Kentucky 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?

$6.46

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $6.46 for this service. The price depends on where it is billed: about $6.46 from a physician practice, and about $6.46 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$6.46$6.31 to $7.94
FacilityA hospital or hospital-owned outpatient department$6.46$6.46 to $16.98

How much rates vary

Facilitymedian $6 · 10th to 90th $5 to $17Professionalmedian $6 · 10th to 90th $5 to $11
$0.1$0.5$2.0$10.0$50.0facility $6professional $6

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
$6.46
Median
$6.46
Typical High
$7.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$7.76
Typical High
$10.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.76
CareSource
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$16.98
Typical High
$21.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$15.85
Typical High
$20.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$17.38
Typical High
$17.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.91
Typical High
$61.66
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.33
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$4.90
Typical High
$5.89
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.17
Typical High
$7.94

Where Kentucky sits

The same service costs 2.0 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $6.46 · 49th of 51
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.