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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 October 2026.

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

$6.92

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $6.92 for this service. The price depends on where it is billed: about $6.92 from a physician practice, and about $11.48 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6.92$4.79 to $9.33
FacilityA hospital or hospital-owned outpatient department$11.48$6.92 to $19.05

How much rates vary

Facilitymedian $11 · 10th to 90th $3 to $79Professionalmedian $7 · 10th to 90th $4 to $56
$5$10$20$50facility $11professional $7

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.02
Median
$1.02
Typical High
$1.02
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.69
Median
$0.69
Typical High
$0.69
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$2.75
Median
$12.59
Typical High
$19.05
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$8.13
Median
$9.33
Typical High
$16.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$6.92
Medica
Setting
Facility
Modifier
None
Typical Low
$6.92
Median
$11.48
Typical High
$79.43
Medica
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$6.46
Typical High
$56.23
United
Setting
Professional
Modifier
None
Typical Low
$4.37
Median
$4.79
Typical High
$7.24

Where Arizona 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.

Arizona· 31st of 51

$6.92

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.