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Ostomy Pouch, Closed, without Barrier Attached (One Piece)

Alaska rates for HCPCS A5052

Ostomy pouch, closed; without barrier attached (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Closed, without Barrier Attached (One Piece) cost?

$1.78

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $1.78 for this service. The price depends on where it is billed: about $1.78 from a physician practice, and about $0.79 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.78$0.91 to $2.04
FacilityA hospital or hospital-owned outpatient department$0.79$0.56 to $2.00

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $2 · 10th to 90th $1 to $2
$1$2$5facility $1professional $2

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.62
Median
$1.58
Typical High
$2.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$2.29
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$1.48
Typical High
$2.14
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.14
Typical High
$6.76
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$2.04
Typical High
$2.04
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$2.04
Typical High
$2.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$0.56
Typical High
$2.34
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.55
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$0.79
Typical High
$0.81
United
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.05
Typical High
$4.27

Where Alaska sits

The same service costs 2.3 times more in Kansas 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.

Alaska· 11th of 51

$1.78

KS $2.29CO $1.00

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.