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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 July 2026.

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

$2.14

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $2.14 for this service. The price depends on where it is billed: about $2.19 from a physician practice, and about $0.98 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$2.19$1.10 to $2.45
FacilityA hospital or hospital-owned outpatient department$0.98$0.68 to $2.45

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $2 · 10th to 90th $1 to $4
$1.0$2.0$5.0$10.0$20.0$50.0facility $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
$0.74
Median
$1.91
Typical High
$2.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.51
Typical High
$1.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$2.75
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$1.51
Typical High
$2.57
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.57
Typical High
$8.32
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.45
Typical High
$2.45
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.45
Typical High
$2.57
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$0.68
Typical High
$2.63
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.86
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$0.98
Typical High
$0.98
United
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$1.26
Typical High
$5.13

Where Alaska sits

The same service costs 2.0 times more in Wisconsin than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alaska $2.14 · 10th of 51
WI $2.57CO $1.26

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.