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Ostomy Pouch, Closed, Barrier with Flange

Alabama 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?

$1.29

Typical negotiated rate. In Alabama, October 2026.

Insurers have agreed to pay about $1.29 for this service. Most negotiated rates run $1.23 to $2.00.

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.

How much rates vary

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

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$2.00
Typical High
$2.00
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.30
Median
$0.30
Typical High
$0.30
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.20
Median
$0.20
Typical High
$0.20
Ambetter
Setting
Professional
Modifier
None
Typical Low
$1.55
Median
$1.55
Typical High
$1.55
BCBS Alabama
Setting
Professional
Modifier
12 + 21 + 22 · Increased work + 31 + 32 · Mandated service + 41 + 52 · Reduced service + 93 · Audio-only telehealth
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$1.51
Median
$1.51
Typical High
$1.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.29
Median
$1.29
Typical High
$1.51
United
Setting
Professional
Modifier
None
Typical Low
$0.71
Median
$1.15
Typical High
$1.51

Where Alabama 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.

Alabama· 49th of 51

$1.29

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.