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Ostomy Pouch, Drainable, Barrier with Flange

Iowa 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?

$3.02

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $3.02 for this service. The price depends on where it is billed: about $3.02 from a physician practice, and about $3.16 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$3.02$2.19 to $3.31
FacilityA hospital or hospital-owned outpatient department$3.16$2.40 to $4.27

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $79Professionalmedian $3 · 10th to 90th $2 to $5
$1.0$5.0$20.0$100.0facility $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
$2.24
Median
$2.75
Typical High
$3.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$3.02
Typical High
$3.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$4.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$4.47
Typical High
$5.62
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.68
Typical High
$4.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$4.17
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.29
Typical High
$6.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.37
Typical High
$4.90
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$6.31
Typical High
$6.31
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$1.74
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.86
Typical High
$3.80
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.09
Typical High
$3.09

Where Iowa 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.

Iowa $3.02 · 15th 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.