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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 July 2026.

Facilitymedian $8 · 10th–90th $3$120%10%10th90th$8Professionalmedian $7 · 10th–90th $3$120%10%20%10th90th$7$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
$8.32
Median
$8.32
Typical High
$8.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$8.13
Typical High
$50.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$9.12
Typical High
$10.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$16.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$19.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$8.32
Typical High
$12.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$4.90
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.79
Typical High
$7.24