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

Alaska rates for HCPCS A4392

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

Rates data updated October 2026.

How much does Ostomy Pouch, Urinary, One-Piece, Standard Wear, Convex cost?

$10.96

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $10.96 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.96$9.77 to $11.22
FacilityA hospital or hospital-owned outpatient department$10.96$7.41 to $10.96

How much rates vary

Facilitymedian $11 · 10th to 90th $7 to $11Professionalmedian $11 · 10th to 90th $6 to $12
$5$10$20$50facility $11professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$10.96
Typical High
$10.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$6.92
Median
$6.92
Typical High
$7.41
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$12.59
Moda Health
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Moda Health
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$10.96
Typical High
$15.85
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$11.22
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$11.22
Typical High
$11.48
Providence
Setting
Facility
Modifier
None
Typical Low
$3.16
Median
$7.41
Typical High
$15.49
Providence
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$7.41
Typical High
$60.26
United
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$5.75
Typical High
$26.92

Where Alaska sits

The same service costs 2.1 times more in Idaho 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.

Alaska· 7th of 51

$10.96

ID $12.30CO $5.89

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.