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

Virginia 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 $9 · 10th–90th $7$190%20%10th90th$9Professionalmedian $7 · 10th–90th $5$110%20%10th90th$7$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$7.08
Median
$7.08
Typical High
$7.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$8.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$12.02
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.94
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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$16.22
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.13
Typical High
$12.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$8.32
Typical High
$13.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$7.08
Typical High
$7.59
Sentara
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$10.23
Typical High
$39.81
Sentara
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.23
Typical High
$33.88
United
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$4.47
Typical High
$5.89
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$5.75
Typical High
$8.91