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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 October 2026.

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

$2.04

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $2.04 for this service. The price depends on where it is billed: about $2.04 from a physician practice, and about $2.29 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.04$1.86 to $2.75
FacilityA hospital or hospital-owned outpatient department$2.29$2.29 to $6.31

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $11Professionalmedian $2 · 10th to 90th $2 to $4
$1$2$5$10$20$50facility $2professional $2

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.70
Median
$2.75
Typical High
$2.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.70
Median
$2.63
Typical High
$2.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.26
Median
$0.41
Typical High
$0.43
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.17
Median
$0.27
Typical High
$0.28
Ambetter
Setting
Professional
Modifier
None
Typical Low
$1.78
Median
$1.78
Typical High
$2.24
AvMed
Setting
Professional
Modifier
None
Typical Low
$2.29
Median
$3.09
Typical High
$3.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.29
Median
$2.29
Typical High
$2.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$1.95
Typical High
$2.29
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$4.37
Median
$8.91
Typical High
$13.80
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$2.00
Median
$3.89
Typical High
$3.89
Molina
Setting
Professional
Modifier
None
Typical Low
$1.51
Median
$2.04
Typical High
$2.24
United
Setting
Professional
Modifier
None
Typical Low
$1.48
Median
$1.86
Typical High
$34.67
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$2.04
Median
$2.04
Typical High
$3.89

Where Florida 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.

Florida· 41st of 51

$2.04

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.