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

Arizona 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 $10 · 10th–90th $3$230%5%10%10th90th$10Professionalmedian $7 · 10th–90th $3$110%10%10th90th$7$0.1$0.5$2.0$10.0$50.0

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
Professional
Modifier
Global
Typical Low
$3.39
Median
$6.92
Typical High
$10.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$11.75
Typical High
$22.39
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.96
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$6.92
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$8.91
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.79
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$4.47
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$4.79
Typical High
$7.24