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

Florida 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 $5$100%20%40%10th90th$8Professionalmedian $8 · 10th–90th $5$100%10%20%10th90th$8$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
$5.13
Median
$8.32
Typical High
$8.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$8.32
Typical High
$10.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
AvMed
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.77
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$6.92
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$4.57
Typical High
$10.96
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$6.92
Typical High
$11.75
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.50
Typical High
$17.78
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$5.25
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.62
Typical High
$6.92
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$11.75