go back

Ostomy Pouch, Drainable, Barrier with Flange

Kentucky 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?

$2.00

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $2.00 for this service. The price depends on where it is billed: about $1.95 from a physician practice, and about $3.80 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 7 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$1.95$1.91 to $2.40
FacilityA hospital or hospital-owned outpatient department$3.80$1.95 to $5.13

How much rates vary

Facilitymedian $4 · 10th to 90th $1 to $5Professionalmedian $2 · 10th to 90th $2 to $3
$0.0$0.1$0.5$2.0$10.0facility $4professional $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
$1.95
Median
$1.95
Typical High
$4.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$2.29
Typical High
$3.24
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$2.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$5.13
Typical High
$6.61
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.68
Typical High
$6.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$5.25
Typical High
$5.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.69
Typical High
$18.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$2.40
Typical High
$5.37
United
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$1.48
Typical High
$1.78
United
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.82
Typical High
$2.40

Where Kentucky 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.

Kentucky $2.00 · 47th 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.