Home › Skin barriers

Assura 2-piece barrier

Brand: Coloplast
Category: Skin barriers
System: 2-piece
Pouch type: Not found in our sources
Barrier type: Flat (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): A4409, A4414 (Coloplast product page (variant name))
Lowest cash price seen: From $22.52 / Box of 5 ($4.50 each)
Vitality Medical, Nov 4, 2026
Source: products.coloplast.us · checked Nov 4, 2026

Add to Supply Planner Compare with similar

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
`2831`	XPRO - Coupling: Green - Stoma size: 10-35mm \| 3/8 - 1 3/8in	5 per box	A4409	$40.94 / Box of 5 Vitality Medical · Nov 4, 2026
`2832`	XPRO - Coupling: Red - Stoma size: 10-45mm \| 3/8 - 1 3/4in	5 per box	A4409	$40.76 / Box of 5 Vitality Medical · Nov 4, 2026
`2833`	XPRO - Coupling: Blue - Stoma size: 10-55mm \| 3/8 - 2 1/4in	5 per box	A4409	$8.07 / Each Vitality Medical · Nov 4, 2026$37.77 / Box of 5 Vitality Medical · Nov 4, 2026
`2881`	Coupling: Green - Stoma size: 10-35mm \| 3/8 - 1 3/8in	5 per box	A4414	$32.40 / Box of 5 Vitality Medical · Nov 4, 2026
`2882`	Coupling: Red - Stoma size: 10-45mm \| 3/8 - 1 3/4in	5 per box	A4414	$32.40 / Box of 5 Vitality Medical · Nov 4, 2026
`2883`	Coupling: Blue - Stoma size: 10-55mm \| 3/8 - 2 1/4in	5 per box	A4414	$7.47 / Each Vitality Medical · Nov 4, 2026$30.32 / Box of 5 Vitality Medical · Nov 4, 2026
`12841`	Coupling: Green - Stoma size: 20mm \| 13/16in	5 per box	A4414	$31.72 / Box of 5 Vitality Medical · Nov 4, 2026
`12842`	Coupling: Green - Stoma size: 25mm \| 1in	5 per box	A4414	$29.67 / Box of 5 Vitality Medical · Nov 4, 2026
`12844`	Coupling: Red - Stoma size: 30mm \| 1 3/16in	5 per box	A4414	$22.52 / Box of 5 Vitality Medical · Nov 4, 2026
`12845`	Coupling: Red - Stoma size: 35mm \| 1 3/8in	5 per box	A4414	$28.46 / Box of 5 Vitality Medical · Nov 4, 2026
`12847`	Coupling: Blue - Stoma size: 40mm \| 1 9/16in	5 per box	A4414	$30.64 / Box of 5 Vitality Medical · Nov 4, 2026
`12848`	Coupling: Blue - Stoma size: 45mm \| 1 3/4in	5 per box	A4414	$30.64 / Box of 5 Vitality Medical · Nov 4, 2026
`14250`	XPRO - Coupling: Green - Stoma size: 15mm \| 5/8in	5 per box	A4409	$40.08 / Box of 5 Vitality Medical · Nov 4, 2026
`14251`	XPRO - Coupling: Green - Stoma size: 20mm \| 13/16in	5 per box	A4409	$38.53 / Box of 5 Vitality Medical · Nov 4, 2026
`14252`	XPRO - Coupling: Green - Stoma size: 25mm \| 1in	5 per box	A4409	$38.53 / Box of 5 Vitality Medical · Nov 4, 2026
`14254`	XPRO - Coupling: Red - Stoma size: 30mm \| 1 3/16in	5 per box	A4409	$38.53 / Box of 5 Vitality Medical · Nov 4, 2026
`14255`	XPRO - Coupling: Red - Stoma size: 35mm \| 1 3/8in	5 per box	A4409	$38.53 / Box of 5 Vitality Medical · Nov 4, 2026
`14257`	XPRO - Coupling: Blue - Stoma size: 40mm \| 1 9/16in	5 per box	A4409	$34.88 / Box of 5 Vitality Medical · Nov 4, 2026
`14258`	Coupling: Blue - Stoma size: 45mm \| 1 3/4in	5 per box	A4409	$35.81 / Box of 5 Vitality Medical · Nov 4, 2026

Medicare usual maximums for these codes

A4409: Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each. No usual maximum is listed for this code in the LCD table.
A4414: Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each. Usual maximum in LCD L33828: 20 per month.

From our Medicare guide (LCD L33828). Informational only; coverage depends on your plan and documentation. Confirm with your supplier or plan.