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

Vermont 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?

$8.51

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $8.51 for this service. Most negotiated rates run $7.24 to $10.47.

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.

How much rates vary

Facilitymedian $6 · 10th to 90th $4 to $8Professionalmedian $9 · 10th to 90th $7 to $12
$5$10$20facility $6professional $9

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
$6.61
Median
$8.51
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$7.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.47
Typical High
$5.75
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$7.76
Typical High
$25.70

Where Vermont 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.

Vermont· 25th of 51

$8.51

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.