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

Utah rates for HCPCS A5061

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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$30%50%90th$1Professionalmedian $4 · 10th–90th $1$210%10%20%10th90th$4$0.1$0.2$1.0$5.0$20.0

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
$1.35
Median
$1.35
Typical High
$1.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$3.24
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$3.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.63
Typical High
$5.75
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.55
Typical High
$5.50
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$5.01
Typical High
$5.01
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.01
Typical High
$6.03
United
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$1.91
Typical High
$2.09
United
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.09
Typical High
$3.63