go back

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

Oklahoma 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 $7$110%50%10th$11Professionalmedian $7 · 10th–90th $4$110%20%10th90th$7$5.0$10.0$20.0$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
$7.41
Median
$7.59
Typical High
$7.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$7.41
Typical High
$7.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$7.59
Typical High
$8.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$8.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$8.91
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$6.03
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$6.03
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$5.37
Typical High
$7.76