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

North Carolina 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?

$10.00

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $10.00 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $10.96 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$9.55$7.94 to $10.96
FacilityA hospital or hospital-owned outpatient department$10.96$8.71 to $14.79

How much rates vary

Facilitymedian $11 · 10th to 90th $5 to $22Professionalmedian $10 · 10th to 90th $6 to $11
$5$10$20$50facility $11professional $10

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
$10.96
Median
$10.96
Typical High
$10.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$10.96
Typical High
$10.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$16.98
Typical High
$18.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$8.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$8.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$6.31
Typical High
$9.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$11.22
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$8.13
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$6.03
Typical High
$8.91
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$95.50

Where North Carolina 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.

North Carolina· 16th of 51

$10.00

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.