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

Wisconsin rates for HCPCS A5061

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

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $4$90%50%10th90th$5Professionalmedian $5 · 10th–90th $3$90%10%10th90th$5$2.0$5.0$10.0$20.0$50.0$100.0

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
$2.88
Median
$2.88
Typical High
$2.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$4.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$8.32
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.68
Typical High
$5.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$15.49
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$7.08
Typical High
$9.55
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$4.27
Typical High
$7.24
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$9.33
Typical High
$11.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$4.90
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.45
Typical High
$5.37
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Network Health
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$5.62
Typical High
$9.77
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$4.27
Typical High
$7.24
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$4.90
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.59
Typical High
$13.18
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$10.23
Typical High
$79.43
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$7.59
Typical High
$25.12
Security Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Security Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
United
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$2.24
Typical High
$5.01
United
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.45
Typical High
$4.27