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Ostomy Pouch, Closed, Barrier with Flange

Delaware 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 Delaware, October 2026.

Insurers have agreed to pay about $1.29 for this service. Most negotiated rates run $1.29 to $1.55.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

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

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
$1.55
Median
$1.55
Typical High
$1.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.23
Median
$1.55
Typical High
$1.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$1.51
Median
$1.51
Typical High
$3.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.29
Median
$1.29
Typical High
$1.51
United
Setting
Professional
Modifier
None
Typical Low
$0.98
Median
$1.35
Typical High
$1.86

Where Delaware 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.

Delaware· 50th 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.