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

Washington, DC 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?

$7.76

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $7.76 for this service. Most negotiated rates run $6.17 to $7.94.

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.

How much rates vary

Facilitymedian $8 · 10th to 90th $7 to $8Professionalmedian $8 · 10th to 90th $6 to $10
$5$10$20facility $8professional $8

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
$7.76
Median
$7.76
Typical High
$7.76
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$7.76
Typical High
$10.00
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.83
Median
$1.15
Typical High
$1.48
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.55
Median
$0.78
Typical High
$1.00
CareFirst
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$7.76
Typical High
$7.94
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$6.92
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$10.00
Typical High
$22.91
United
Setting
Professional
Modifier
None
Typical Low
$3.80
Median
$6.17
Typical High
$11.75

Where Washington, DC 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.

Washington, DC· 22nd of 51

$7.76

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.