go back

Ostomy Pouch, Drainable, with Barrier Attached, (One Piece)

New York rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $2$70%20%10th90th$3Professionalmedian $3 · 10th–90th $2$70%50%10th90th$3$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$3.02
Typical High
$5.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$3.02
Typical High
$4.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.47
Typical High
$6.92
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.07
Typical High
$4.07
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$3.16
Typical High
$6.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$3.47
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$8.32
Typical High
$19.50
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$5.01
Typical High
$9.55
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$3.55
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.55
Typical High
$3.55
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.16
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.79
Typical High
$5.62
United
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$2.09
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$3.24
Typical High
$8.51
Univera
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$3.55
Typical High
$3.55
Univera
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.55
Typical High
$3.55