search again

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

Nationwide rates for HCPCS A4392

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

Rates data updated July 2026.

Facilitymedian $8 · 10th–90th $4$250%20%10th90th$8Professionalmedian $8 · 10th–90th $5$130%20%40%10th90th$8$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
$5.01
Median
$7.24
Typical High
$11.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$7.24
Typical High
$10.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$5.50
Typical High
$13.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.17
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$7.59
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$16.60
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$5.13
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.75
Typical High
$10.23