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

Missouri 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$230%20%10th90th$10Professionalmedian $6 · 10th–90th $5$140%20%10th90th$6$1.0$2.0$5.0$10.0$20.0$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
$4.90
Median
$11.48
Typical High
$11.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$7.41
Typical High
$50.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.03
Typical High
$10.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$10.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$6.92
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$9.77
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.75
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$7.24
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.75
Typical High
$8.71