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Ostomy Pouch, Drainable, Barrier with Flange

Washington, DC rates for HCPCS A5063

Ostomy pouch, drainable; for use on barrier with flange (two-piece system), each

Rates data updated October 2026.

How much does Ostomy Pouch, Drainable, Barrier with Flange cost?

$2.57

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $2.57 for this service. Most negotiated rates run $2.04 to $2.63.

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 $3 · 10th to 90th $2 to $3Professionalmedian $3 · 10th to 90th $2 to $3
$2$5facility $3professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$2.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$2.57
Typical High
$3.31
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.28
Median
$0.38
Typical High
$0.49
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.18
Median
$0.26
Typical High
$0.27
CareFirst
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$2.63
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.45
Median
$2.45
Typical High
$2.45
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$1.95
Typical High
$2.29
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$3.02
Median
$3.31
Typical High
$7.59
United
Setting
Professional
Modifier
None
Typical Low
$1.26
Median
$2.04
Typical High
$3.89

Where Washington, DC sits

The same service costs 2.1 times more in Idaho than in New Jersey. 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.

Washington, DC· 24th of 51

$2.57

ID $4.07NJ $1.95

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.