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

Michigan 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?

$9.55

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $9.12 from a physician practice, and about $13.18 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 8 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$9.12$6.76 to $12.59
FacilityA hospital or hospital-owned outpatient department$13.18$9.55 to $38.02

How much rates vary

Facilitymedian $13 · 10th to 90th $6 to $58Professionalmedian $9 · 10th to 90th $5 to $13
$0.1$1$10$100facility $13professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$7.76
Typical High
$10.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$38.02
Typical High
$72.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$13.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
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
$7.94
Typical High
$7.94
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$8.91
Typical High
$26.30
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$10.23
Typical High
$15.49
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$4.90
Typical High
$8.13
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.89
Typical High
$9.12

Where Michigan 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.

Michigan· 18th of 51

$9.55

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.