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

Rhode Island 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?

$6.61

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $6.61 for this service. The price depends on where it is billed: about $6.61 from a physician practice, and about $23.44 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 4 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$6.61$5.50 to $8.13
FacilityA hospital or hospital-owned outpatient department$23.44$18.62 to $26.92

How much rates vary

Facilitymedian $23 · 10th to 90th $7 to $30Professionalmedian $7 · 10th to 90th $5 to $10
$5$10$20$50facility $23professional $7

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.50
Typical High
$9.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$25.12
Typical High
$29.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$6.61
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$7.24
Typical High
$10.47

Where Rhode Island 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.

Rhode Island· 47th of 51

$6.61

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.