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

Vermont rates for HCPCS A4392

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

Rates data updated July 2026.

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

$7.76

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $7.76 for this service. Most negotiated rates run $6.61 to $9.55.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $8Professionalmedian $8 · 10th to 90th $6 to $11
$5$10$20facility $5professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.76
Typical High
$10.72
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
$7.08
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$11.22
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.98
Typical High
$5.25
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$7.08
Typical High
$22.91

Where Vermont sits

The same service costs 2.0 times more in Hawaii 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.

Vermont· 25th of 51

$7.76

HI $11.75CO $5.75

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.