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Ostomy Pouch, Closed, Barrier with Flange

Louisiana 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?

$1.78

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $1.78 for this service. The price depends on where it is billed: about $1.51 from a physician practice, and about $263 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.51$1.26 to $1.82
FacilityA hospital or hospital-owned outpatient department$263$3.72 to $263

How much rates vary

Facilitymedian $263 · 10th to 90th $2 to $263Professionalmedian $2 · 10th to 90th $1 to $2
$1$5$20$100facility $263professional $2

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
Facility
Modifier
None
Typical Low
$1.45
Median
$1.45
Typical High
$1.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.45
Median
$1.78
Typical High
$2.00
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.22
Median
$0.27
Typical High
$0.30
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.14
Median
$0.18
Typical High
$0.20
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$2.19
Median
$3.80
Typical High
$5.37
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
Christus
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
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 Louisiana 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.

Louisiana· 21st of 51

$1.78

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.