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Ostomy Pouch, Closed, Barrier with Flange

Montana 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?

$2.14

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $2.14 for this service. The price depends on where it is billed: about $2.14 from a physician practice, and about $2.45 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$2.14$1.17 to $2.45
FacilityA hospital or hospital-owned outpatient department$2.45$1.95 to $2.63

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $3Professionalmedian $2 · 10th to 90th $1 to $11
$1.0$2.0$5.0$10.0$20.0$50.0facility $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
Professional
Modifier
Global
Typical Low
$0.68
Median
$2.00
Typical High
$10.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$2.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$2.63
Typical High
$2.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$2.63
Typical High
$2.63
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$2.45
Typical High
$4.79
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.45
Typical High
$4.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$2.09
Typical High
$3.02
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$2.63
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$0.98
Typical High
$0.98
United
Setting
Professional
Modifier
Global
Typical Low
$0.95
Median
$1.07
Typical High
$1.45

Where Montana 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.

Montana $2.14 · 12th 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.