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

Iowa 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 $5$290%10%10th90th$10Professionalmedian $9 · 10th–90th $6$170%10%20%10th90th$9$5.0$10.0$20.0$50.0$100.0

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
$6.76
Median
$8.32
Typical High
$9.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$9.12
Typical High
$10.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$12.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.18
Typical High
$16.60
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.60
Typical High
$18.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$12.59
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.92
Typical High
$19.05
Midlands
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$13.18
Typical High
$14.79
Midlands
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$19.05
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$5.25
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.75
Typical High
$10.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.33
Typical High
$9.33