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

Nevada 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 $11 · 10th–90th $6$110%50%10th$11Professionalmedian $9 · 10th–90th $3$160%10%10th90th$9$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
$10.96
Median
$10.96
Typical High
$10.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$9.55
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$8.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.46
Typical High
$7.94
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.96
Typical High
$21.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.48
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$0.08
Median
$4.90
Typical High
$5.75
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$6.76
Typical High
$13.49