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

Louisiana 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 $9 · 10th–90th $6$240%20%10th90th$9Professionalmedian $8 · 10th–90th $4$100%20%10th90th$8$0.1$0.5$2.0$10.0$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
$7.24
Median
$8.91
Typical High
$8.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$8.32
Typical High
$10.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$18.62
Typical High
$26.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$8.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$4.90
Typical High
$6.31
United
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$5.89
Typical High
$7.76