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

Minnesota 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?

$11.48

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $33.88 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 6 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$11.48$9.33 to $11.48
FacilityA hospital or hospital-owned outpatient department$33.88$12.59 to $48.98

How much rates vary

Facilitymedian $34 · 10th to 90th $7 to $93Professionalmedian $11 · 10th to 90th $7 to $13
$5$10$20$50$100facility $34professional $11

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
Facility
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$7.24
Typical High
$9.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$13.49
Typical High
$19.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$11.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$42.66
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.79
Typical High
$16.60
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$46.77
Typical High
$93.33
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$14.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$11.48
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.79
Typical High
$12.59
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$4.37
Typical High
$5.25
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.75
Typical High
$15.85

Where Minnesota 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.

Minnesota· 3rd of 51

$11.48

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.