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

Louisiana 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?

$7.24

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $7.24 for this service. The price depends on where it is billed: about $6.92 from a physician practice, and about $15.49 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6.92$5.75 to $8.32
FacilityA hospital or hospital-owned outpatient department$15.49$9.12 to $19.50

How much rates vary

Facilitymedian $15 · 10th to 90th $7 to $23Professionalmedian $7 · 10th to 90th $4 to $8
$5$10$20facility $15professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$6.61
Median
$6.61
Typical High
$8.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$8.13
Typical High
$9.12
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.98
Median
$1.20
Typical High
$1.35
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.66
Median
$0.81
Typical High
$0.89
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$10.00
Median
$17.38
Typical High
$24.55
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Christus
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$6.92
Median
$6.92
Typical High
$7.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$6.92
United
Setting
Professional
Modifier
None
Typical Low
$3.24
Median
$5.37
Typical High
$6.92

Where Louisiana 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.

Louisiana· 24th of 51

$7.24

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.