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

Colorado 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 $3$140%10%10th90th$8Professionalmedian $5 · 10th–90th $5$80%20%10th90th$5$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
Facility
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$8.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$5.01
Typical High
$7.41
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.89
Typical High
$10.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$10.23
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$8.51
Typical High
$15.85
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.16
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$11.75
Typical High
$28.18
Select Health
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$21.38
Typical High
$24.55
Select Health
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.75
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$5.25
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.79
Typical High
$7.24