go back

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

New Jersey rates for HCPCS A4393

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $5$130%50%10th90th$6Professionalmedian $8 · 10th–90th $4$110%10%20%10th90th$8$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$6.17
Typical High
$10.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$8.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$7.59
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.47
Typical High
$16.98
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$5.89
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$7.24
Typical High
$12.30