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Ostomy Pouch, Closed, Barrier with Flange

Vermont 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?

$1.70

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $1.70 for this service. Most negotiated rates run $1.45 to $2.04.

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.

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $2 · 10th to 90th $1 to $2
$1.0$2.0$5.0$10.0facility $1professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.70
Typical High
$2.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
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
$1.55
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$2.45
United
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$0.87
Typical High
$1.12
United
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$1.55
Typical High
$5.01

Where Vermont 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.

Vermont $1.70 · 27th 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.