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

Idaho rates for HCPCS A4392

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (one piece), each

Rates data updated July 2026.

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

$8.32

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $8.32 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $10.72 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8.32$6.46 to $12.88
FacilityA hospital or hospital-owned outpatient department$10.72$8.13 to $11.75

How much rates vary

Facilitymedian $11 · 10th to 90th $4 to $16Professionalmedian $8 · 10th to 90th $3 to $15
$2$5$10$20facility $11professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$7.76
Typical High
$15.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$10.72
Typical High
$18.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.88
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$7.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$8.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$10.96
Typical High
$15.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.96
Typical High
$11.75
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$12.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$17.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.96
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.47
Typical High
$7.24
United
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.79
Typical High
$6.61

Where Idaho sits

The same service costs 2.0 times more in Hawaii 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.

Idaho· 19th of 51

$8.32

HI $11.75CO $5.75

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.