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Ostomy Pouch, Closed, Barrier with Flange

South Carolina 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?

$2.00

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $2.00 for this service. The price depends on where it is billed: about $1.86 from a physician practice, and about $2.00 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$1.86$1.38 to $2.09
FacilityA hospital or hospital-owned outpatient department$2.00$1.66 to $2.45

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $3Professionalmedian $2 · 10th to 90th $1 to $2
$1$2$5facility $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
$2.00
Median
$2.00
Typical High
$2.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$2.00
Typical High
$2.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$2.29
Typical High
$2.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$2.57
Typical High
$3.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.51
Typical High
$1.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$3.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$2.24
Typical High
$4.07
Medcost
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.68
Typical High
$0.85
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
United
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$0.98
Typical High
$2.57
United
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.20
Typical High
$1.62

Where South Carolina sits

The same service costs 2.0 times more in Wisconsin than in Colorado. 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.

South Carolina· 13th of 51

$2.00

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.