go back

Ostomy Pouch, Drainable, Barrier with Flange

Michigan 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 Michigan, 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 $4.47 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$1.82 to $3.80
FacilityA hospital or hospital-owned outpatient department$4.47$2.88 to $11.22

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $17Professionalmedian $3 · 10th to 90th $1 to $4
$0.1$1.0$10.0facility $4professional $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
$2.88
Median
$2.88
Typical High
$2.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$2.34
Typical High
$2.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$11.48
Typical High
$21.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$4.57
Typical High
$7.24
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.25
Typical High
$5.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$2.40
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$2.69
Typical High
$7.94
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.02
Typical High
$4.68
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$3.09
United
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$1.48
Typical High
$2.45
United
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.78
Typical High
$2.69

Where Michigan 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.

Michigan $2.75 · 19th 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.