Assura irrigation set
ColoplastAccessoriesIrrigation
- Brand
- Coloplast
- Category
- Accessories › Irrigation
- System
- Not found in our sources
- Pouch type
- Not found in our sources
- Barrier type
- Not found in our sources
- Opening
- Not found in our sources
- Filter
- Not found in our sources
- Box quantity
- 1, 4, 5
- Flange sizes
- Coupling Blue, Coupling Green, Coupling Red
- HCPCS code(s)
- A4361, A4397, A4398, A4399 (Coloplast product page (variant name))
- Lowest cash price seen
- No sourced price yet
- 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.
| Code | Description / size | Box | HCPCS | Price seen |
|---|---|---|---|---|
O1110 | Colotip | 4 per box | A4399 | — |
1500 | , A4399 | 1 per box | A4398 | — |
12820 | Pressure plate | 5 per box | A4361 | — |
12830 | / A4399 / A4361 / A4367 / A4397 - Irrigation set | 1 per box | A4398 | — |
12834 | Sleeve - Coupling: Green | 5 per box | A4397 | — |
12835 | Sleeve - Coupling: Red | 5 per box | A4397 | — |
12836 | Sleeve - Coupling: Blue | 5 per box | A4397 | — |
Medicare usual maximums for these codes
- A4361: Ostomy faceplate, each. Usual maximum in LCD L33828: 3 per 6 months.
- A4397: Irrigation supply; sleeve, each. No usual maximum is listed for this code in the LCD table.
- A4398: Ostomy irrigation supply; bag, each. Usual maximum in LCD L33828: 2 per 6 months.
- A4399: Ostomy irrigation supply; cone/catheter, with or without brush. Usual maximum in LCD L33828: 2 per 6 months.
From our Medicare guide (LCD L33828). Informational only; coverage depends on your plan and documentation. Confirm with your supplier or plan.