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Ostomy Pouch, Drainable, Barrier with Flange

Florida rates for HCPCS A5063

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

Rates data updated July 2026.

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

$2.75

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $2.75 for this service. The price depends on where it is billed: about $2.69 from a physician practice, and about $2.75 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 8 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$2.69$1.95 to $3.31
FacilityA hospital or hospital-owned outpatient department$2.75$2.04 to $3.24

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $8Professionalmedian $3 · 10th to 90th $2 to $3
$0.1$1.0$10.0facility $3professional $3

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
$1.70
Median
$2.75
Typical High
$2.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.75
Typical High
$3.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.19
Typical High
$2.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$3.16
Typical High
$3.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$5.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$2.29
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$8.32
Typical High
$13.18
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$2.29
Typical High
$3.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$2.04
Typical High
$3.24
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.74
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.86
Typical High
$2.29
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$3.89

Where Florida sits

The same service costs 2.1 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Florida $2.75 · 20th of 51
HI $3.89CO $1.82

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.