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Ostomy Pouch, Closed, Barrier with Flange

Kentucky 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?

$1.29

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1.29 for this service. The price depends on where it is billed: about $1.29 from a physician practice, and about $1.29 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$1.29$1.26 to $1.58
FacilityA hospital or hospital-owned outpatient department$1.29$1.29 to $3.39

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $1 · 10th to 90th $1 to $2
$0.0$0.1$0.5$2.0$10.0facility $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
$1.29
Median
$1.29
Typical High
$1.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.55
Typical High
$2.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.35
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$3.39
Typical High
$4.37
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.16
Typical High
$3.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$3.47
Typical High
$3.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.62
Typical High
$12.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.48
Typical High
$3.55
United
Setting
Facility
Modifier
Global
Typical Low
$0.72
Median
$0.98
Typical High
$1.17
United
Setting
Professional
Modifier
Global
Typical Low
$0.81
Median
$1.23
Typical High
$1.58

Where Kentucky 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.

Kentucky $1.29 · 48th 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.