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Ostomy Pouch, Drainable, Barrier with Flange

Indiana 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?

$2.24

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $2.24 for this service. The price depends on where it is billed: about $2.14 from a physician practice, and about $3.24 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 6 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$2.14$1.91 to $2.95
FacilityA hospital or hospital-owned outpatient department$3.24$1.91 to $4.68

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $5Professionalmedian $2 · 10th to 90th $1 to $3
$1.0$2.0$5.0$10.0facility $3professional $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
$3.24
Median
$3.24
Typical High
$4.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$2.34
Typical High
$3.24
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$3.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$3.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.00
Typical High
$3.80
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.90
Typical High
$5.62
CareSource
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.90
Typical High
$5.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.29
Typical High
$5.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$3.09
United
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$1.48
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.82
Typical High
$2.69

Where Indiana 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.

Indiana $2.24 · 43rd 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.