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Ostomy Pouch, Drainable, without Barrier

Utah rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Drainable, without Barrier cost?

$2.24

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $2.24 for this service. The price depends on where it is billed: about $2.24 from a physician practice, and about $0.85 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 7 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$2.24$1.58 to $3.24
FacilityA hospital or hospital-owned outpatient department$0.85$0.85 to $1.05

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $2 · 10th to 90th $1 to $13
$1$2$5$10facility $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$0.85
Typical High
$0.85
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$2.00
Typical High
$12.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$1.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$2.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$2.51
Typical High
$3.63
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.24
Typical High
$3.24
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.16
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$3.02
Typical High
$3.16
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.16
Typical High
$3.55
United
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$1.20
Typical High
$1.32
United
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.32
Typical High
$2.24

Where Utah sits

The same service costs 2.1 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 18th of 51

$2.24

HI $3.24CO $1.55

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.