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

Maine 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?

$8.91

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $8.91 for this service. Most negotiated rates run $6.31 to $10.96.

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.

How much rates vary

Facilitymedian $8 · 10th to 90th $5 to $10Professionalmedian $9 · 10th to 90th $4 to $11
$5.0$10.0$20.0$50.0facility $8professional $9

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$6.61
Typical High
$12.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$8.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$8.51
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$13.18
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$6.61
Typical High
$9.55
United
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$4.90
Typical High
$6.76
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$10.96
Typical High
$10.96

Where Maine 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.

Maine $8.91 · 22nd 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.