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

Mississippi rates for HCPCS A4393

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (one piece), each

Rates data updated October 2026.

How much does Ostomy Pouch, Urinary, One-Piece, Extended Wear, Convex cost?

$9.77

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.12 from a physician practice, and about $10.23 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.12$6.03 to $9.77
FacilityA hospital or hospital-owned outpatient department$10.23$10.23 to $11.22

How much rates vary

Facilitymedian $10 · 10th to 90th $8 to $11Professionalmedian $9 · 10th to 90th $6 to $11
$5$10facility $10professional $9

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$12.88
Typical High
$12.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$10.96
Typical High
$12.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.66
Median
$1.66
Typical High
$1.95
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.10
Median
$1.10
Typical High
$1.29
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$10.23
Median
$10.23
Typical High
$11.22
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.59
Median
$7.59
Typical High
$7.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$6.46
Typical High
$7.59
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
None
Typical Low
$4.17
Median
$5.89
Typical High
$7.76

Where Mississippi sits

The same service costs 2.1 times more in Idaho than in Connecticut. 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.

Mississippi· 18th of 51

$9.77

ID $13.49CT $6.46

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.