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Ostomy Pouch, Closed, for Use on Faceplate

New Mexico rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Rates data updated July 2026.

How much does Ostomy Pouch, Closed, for Use on Faceplate cost?

$1.23

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $1.23 for this service. The price depends on where it is billed: about $1.23 from a physician practice, and about $1.48 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 5 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$1.23$1.00 to $1.48
FacilityA hospital or hospital-owned outpatient department$1.48$1.02 to $2.09

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $1 · 10th to 90th $1 to $2
$1$2facility $1professional $1

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
Facility
Modifier
Global
Typical Low
$1.66
Median
$1.66
Typical High
$1.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.72
Median
$1.23
Typical High
$1.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.15
Typical High
$2.75
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.04
Typical High
$3.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$1.58
Typical High
$2.69
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.15
Typical High
$2.51
United
Setting
Facility
Modifier
Global
Typical Low
$0.93
Median
$1.02
Typical High
$2.09
United
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$1.02
Typical High
$1.55

Where New Mexico sits

The same service costs 2.9 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.

New Mexico· 45th of 51

$1.23

HI $3.09CO $1.07

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.