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

New Mexico rates for HCPCS A4392

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (one piece), each

Rates data updated October 2026.

How much does Ostomy Pouch, Urinary, One-Piece, Standard Wear, Convex cost?

$7.24

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $7.24 for this service. The price depends on where it is billed: about $7.24 from a physician practice, and about $6.92 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.24$5.89 to $10.00
FacilityA hospital or hospital-owned outpatient department$6.92$3.16 to $8.13

How much rates vary

Facilitymedian $7 · 10th to 90th $3 to $9Professionalmedian $7 · 10th to 90th $4 to $11
$5$10$20facility $7professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$8.13
Typical High
$8.32
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$9.12
Typical High
$10.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$6.92
Molina
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$19.95
Providence
Setting
Facility
Modifier
None
Typical Low
$3.16
Median
$6.92
Typical High
$8.91
Providence
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$12.02
United
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$4.79
Typical High
$7.24

Where New Mexico sits

The same service costs 2.1 times more in Idaho 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.

New Mexico· 25th of 51

$7.24

ID $12.30CO $5.89

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.