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Ostomy Pouch, Drainable, Barrier with Flange

Montana 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?

$3.24

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $3.24 for this service. The price depends on where it is billed: about $3.24 from a physician practice, and about $3.72 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$3.24$1.78 to $3.72
FacilityA hospital or hospital-owned outpatient department$3.72$2.88 to $3.98

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $5Professionalmedian $3 · 10th to 90th $1 to $11
$1.0$2.0$5.0$10.0$20.0$50.0facility $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
Professional
Modifier
Global
Typical Low
$1.05
Median
$3.02
Typical High
$16.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$3.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$3.98
Typical High
$3.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$3.98
Typical High
$3.98
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$3.72
Typical High
$7.24
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$3.72
Typical High
$7.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$3.16
Typical High
$4.57
Providence
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.98
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.45
Typical High
$1.48
United
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.58
Typical High
$2.14

Where Montana 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.

Montana $3.24 · 11th 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.