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

Nevada 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 $5$100%50%10th$10Professionalmedian $8 · 10th–90th $5$160%10%10th90th$8$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
$10.00
Typical High
$10.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.71
Typical High
$50.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.03
Typical High
$8.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$9.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.89
Typical High
$7.08
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$10.47
Typical High
$19.95
Select Health
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Select Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.47
Typical High
$11.75
United
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$4.37
Typical High
$5.25
United
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$6.17
Typical High
$12.88