go back

Ostomy Pouch, Closed, Barrier with Flange

Virginia 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?

$1.55

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1.55 for this service. The price depends on where it is billed: about $1.55 from a physician practice, and about $1.95 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 8 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$1.55$1.26 to $1.78
FacilityA hospital or hospital-owned outpatient department$1.95$1.58 to $2.57

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $4Professionalmedian $2 · 10th to 90th $1 to $2
$0.1$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
$1.55
Median
$1.55
Typical High
$1.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.55
Typical High
$1.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$2.57
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.51
Typical High
$1.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.57
Typical High
$3.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.78
Typical High
$2.69
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.10
Median
$1.82
Typical High
$3.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.38
Typical High
$1.66
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$2.19
Typical High
$8.71
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$2.19
Typical High
$8.71
United
Setting
Facility
Modifier
Global
Typical Low
$0.72
Median
$0.98
Typical High
$1.29
United
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.26
Typical High
$1.95

Where Virginia 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.

Virginia $1.55 · 36th 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.