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

Mississippi 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 $4$120%20%10th90th$10Professionalmedian $9 · 10th–90th $4$120%10%20%10th90th$9$0.1$0.5$2.0$10.0$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
$10.00
Median
$11.75
Typical High
$11.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$9.12
Typical High
$11.75
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$10.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$8.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$4.37
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$5.37
Typical High
$8.13