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

Nebraska 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?

$8.32

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $8.32 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $12.88 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$8.32$4.37 to $8.32
FacilityA hospital or hospital-owned outpatient department$12.88$8.32 to $17.38

How much rates vary

Facilitymedian $13 · 10th to 90th $5 to $79Professionalmedian $8 · 10th to 90th $4 to $11
$5$10$20$50facility $13professional $8

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
$10.47
Median
$10.47
Typical High
$10.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$8.32
Typical High
$10.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.30
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.94
Typical High
$14.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$14.79
Typical High
$26.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$17.78
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.31
Typical High
$12.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$33.88
Midlands
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$31.62
Typical High
$33.88
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$7.59
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.03
Typical High
$10.00

Where Nebraska 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.

Nebraska· 30th of 51

$8.32

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.