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Ostomy Pouch, Closed, Barrier with Flange

Alaska rates for HCPCS A5054

Ostomy pouch, closed; for use on barrier with flange (two piece), each

Rates data updated October 2026.

How much does Ostomy Pouch, Closed, Barrier with Flange cost?

$2.45

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $2.45 for this service. The price depends on where it is billed: about $2.45 from a physician practice, and about $2.40 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.45$2.14 to $2.45
FacilityA hospital or hospital-owned outpatient department$2.40$1.62 to $2.45

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $2Professionalmedian $2 · 10th to 90th $1 to $3
$1$2$5$10$20$50facility $2professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2.40
Median
$2.40
Typical High
$2.40
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.10
Median
$2.40
Typical High
$2.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$1.51
Median
$1.51
Typical High
$1.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.29
Median
$1.29
Typical High
$2.75
Moda Health
Setting
Facility
Modifier
None
Typical Low
$2.40
Median
$2.45
Typical High
$2.45
Moda Health
Setting
Professional
Modifier
None
Typical Low
$2.14
Median
$2.45
Typical High
$3.47
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$2.19
Median
$2.19
Typical High
$2.45
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$2.19
Median
$2.45
Typical High
$2.51
Providence
Setting
Facility
Modifier
None
Typical Low
$0.68
Median
$1.62
Typical High
$3.39
Providence
Setting
Professional
Modifier
None
Typical Low
$1.29
Median
$1.62
Typical High
$60.26
United
Setting
Professional
Modifier
None
Typical Low
$1.20
Median
$1.26
Typical High
$5.89

Where Alaska sits

The same service costs 2.1 times more in Idaho than in Connecticut. 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· 6th of 51

$2.45

ID $2.69CT $1.29

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.