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

Arkansas 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 $398,107 · 10th–90th $9$933,2540%10%20%10th90th$398,107Professionalmedian $7 · 10th–90th $3$100%20%10th90th$7$2.0$20.0$200.0$2.0K$20.0K$200.0K

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
$9.12
Median
$9.12
Typical High
$9.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$8.71
Typical High
$10.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.92
Typical High
$12.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.89
Typical High
$7.59
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.90
Typical High
$7.24
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$5.13
Typical High
$6.92