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Ostomy Pouch, Closed, Barrier with Flange

Massachusetts 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?

$2.19

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $2.19 for this service. The price depends on where it is billed: about $2.19 from a physician practice, and about $1.62 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 9 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$1.23 to $2.19
FacilityA hospital or hospital-owned outpatient department$1.62$1.10 to $4.57

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $79Professionalmedian $2 · 10th to 90th $1 to $3
$1.0$10.0$100.0$1.0K$10.0Kfacility $2professional $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
Facility
Modifier
Global
Typical Low
$1.10
Median
$1.10
Typical High
$1.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.32
Typical High
$3.47
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.57
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$0.98
Median
$1.95
Typical High
$3.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.51
Typical High
$4.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.51
Typical High
$1.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.78
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$3.31
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.29
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.57
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$0.98
Median
$1.95
Typical High
$3.02
United
Setting
Facility
Modifier
Global
Typical Low
$0.81
Median
$1.05
Typical High
$2.57
United
Setting
Professional
Modifier
Global
Typical Low
$0.98
Median
$2.00
Typical High
$2.24

Where Massachusetts 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.

Massachusetts $2.19 · 9th 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.