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

North Dakota 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 $8 · 10th–90th $7$140%50%10th90th$8Professionalmedian $11 · 10th–90th $5$140%20%10th90th$11$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
$7.24
Median
$8.32
Typical High
$8.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$7.24
Typical High
$43.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.59
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$13.18
Typical High
$16.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$9.77
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.37
Typical High
$11.48
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$6.92
Typical High
$13.49