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

Oregon 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 $11 · 10th–90th $9$110%50%10th90th$11Professionalmedian $9 · 10th–90th $3$130%10%10th90th$9$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
Professional
Modifier
Global
Typical Low
$3.39
Median
$5.89
Typical High
$9.12
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
$5.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$21.38
Typical High
$24.55
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$9.12
Typical High
$12.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$9.12
Typical High
$12.59
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$11.22
Typical High
$11.48
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$10.23
Typical High
$13.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$10.96
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.88
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$4.47
Typical High
$7.24
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.79
Typical High
$9.33