Assura Convex Deep 2-piece barrier
ColoplastSkin barriers2-pieceConvex
- Brand
- Coloplast
- Category
- Skin barriers
- System
- 2-piece
- Pouch type
- Not found in our sources
- Barrier type
- Convex (from product name)
- Opening
- Not found in our sources
- Filter
- Not found in our sources
- Box quantity
- 5
- Flange sizes
- Coupling Blue, Coupling Green, Coupling Red
- HCPCS code(s)
- A4373, A4407 (Coloplast product page (variant name))
- Lowest cash price seen
- From $29.35 / Box of 5 ($5.87 each)
Vitality Medical, Nov 4, 2026 - Source
- products.coloplast.us · checked Nov 4, 2026
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Sizes, codes and prices
Prices are cash prices one retailer listed on the date shown, per the retailer's unit. Retailer links are marked as sponsored for search engines and may become affiliate links later. We do not take referral fees from suppliers that bill Medicare. The retailer page says the manufacturer labels this item Rx only.
| Code | Description / size | Box | HCPCS | Price seen |
|---|---|---|---|---|
12701 | Coupling: Green - Stoma size: 15mm | 5/8in | 5 per box | A4373 | $39.08 / Box of 5 Vitality Medical · Nov 4, 2026 |
12702 | Coupling: Green - Stoma size: 18mm | 3/4in | 5 per box | A4373 | $38.39 / Box of 5 Vitality Medical · Nov 4, 2026 |
12703 | Coupling: Green - Stoma size: 21mm | 7/8in | 5 per box | A4373 | $38.39 / Box of 5 Vitality Medical · Nov 4, 2026 |
12705 | Coupling: Red - Stoma size: 28mm | 1 1/8in | 5 per box | A4373 | $38.25 / Box of 5 Vitality Medical · Nov 4, 2026 |
12706 | Coupling: Red - Stoma size: 31mm | 1 1/4in | 5 per box | A4373 | $39.08 / Box of 5 Vitality Medical · Nov 4, 2026 |
12707 | Coupling: Blue - Stoma size: 35mm | 1 3/8in | 5 per box | A4373 | $29.35 / Box of 5 Vitality Medical · Nov 4, 2026 |
12708 | Coupling: Blue - Stoma size: 38mm | 1 1/2in | 5 per box | A4373 | $35.65 / Box of 5 Vitality Medical · Nov 4, 2026 |
12709 | Coupling: Blue - Stoma size: 41mm | 1 5/8in | 5 per box | A4373 | $40.12 / Box of 5 Vitality Medical · Nov 4, 2026 |
12716 | Coupling: Red - Stoma size: 15-33mm | 5/8 - 1 5/16in | 5 per box | A4373 | $29.97 / Box of 5 Vitality Medical · Nov 4, 2026 |
12719 | Coupling: Blue - Stoma size: 15-43mm | 5/8 - 1 11/16in | 5 per box | A4373 | $39.08 / Box of 5 Vitality Medical · Nov 4, 2026 |
14232 | XPRO - Coupling: Green - Stoma size: 18mm | 3/4in | 5 per box | A4407 | $38.60 / Box of 5 Vitality Medical · Nov 4, 2026 |
14233 | XPRO - Coupling: Green - Stoma size: 22mm | 7/8in | 5 per box | A4407 | $49.25 / Box of 5 Vitality Medical · Nov 4, 2026 |
14234 | XPRO - Coupling: Red - Stoma size: 25mm | 1in | 5 per box | A4407 | $50.32 / Box of 5 Vitality Medical · Nov 4, 2026 |
14235 | XPRO - Coupling: Red - Stoma size: 28mm | 1 1/8in | 5 per box | A4407 | $46.76 / Box of 5 Vitality Medical · Nov 4, 2026 |
14236 | XPRO - Coupling: Red - Stoma size: 31mm | 1 1/4in | 5 per box | A4407 | $52.12 / Box of 5 Vitality Medical · Nov 4, 2026 |
14237 | XPRO - Coupling: Blue - Stoma size: 35mm | 1 3/8 in | 5 per box | A4407 | $47.34 / Box of 5 Vitality Medical · Nov 4, 2026 |
14238 | XPRO - Coupling: Blue - Stoma size: 38mm | 1 1/2in | 5 per box | A4407 | $46.76 / Box of 5 Vitality Medical · Nov 4, 2026 |
14239 | XPRO - Coupling: Blue - Stoma size: 41mm | 1 5/8in | 5 per box | A4407 | $51.38 / Box of 5 Vitality Medical · Nov 4, 2026 |
14243 | XPRO - Coupling: Green - Stoma size: 15-23mm | 5/815/16in | 5 per box | A4407 | $50.32 / Box of 5 Vitality Medical · Nov 4, 2026 |
14246 | XPRO - Coupling: Red - Stoma size: 15-33mm | 5/8 - 1 5/16in | 5 per box | A4407 | $53.24 / Box of 5 Vitality Medical · Nov 4, 2026 |
14249 | XPRO - Coupling: Blue - Stoma size: 15-43mm | 5/8 - 1 11/16in | 5 per box | A4407 | $51.42 / Box of 5 Vitality Medical · Nov 4, 2026 |
Medicare usual maximums for these codes
- A4373: Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each. No usual maximum is listed for this code in the LCD table.
- A4407: Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each. No usual maximum is listed for this code in the LCD table.
From our Medicare guide (LCD L33828). Informational only; coverage depends on your plan and documentation. Confirm with your supplier or plan.
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