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

New Jersey 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 $6 · 10th–90th $4$120%50%10th90th$6Professionalmedian $7 · 10th–90th $3$100%20%10th90th$7$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
$5.62
Median
$5.62
Typical High
$5.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$5.62
Typical High
$10.00
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
$6.92
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.33
Typical High
$15.14
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$5.37
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$6.46
Typical High
$11.48