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Ostomy Pouch, Drainable, Barrier with Flange

New Jersey rates for HCPCS A5063

Ostomy pouch, drainable; for use on barrier with flange (two-piece system), each

Rates data updated October 2026.

How much does Ostomy Pouch, Drainable, Barrier with Flange cost?

$1.95

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $1.95 for this service. Most negotiated rates run $1.86 to $2.51.

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.

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $2Professionalmedian $2 · 10th to 90th $1 to $3
$1$2$5facility $2professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.32
Median
$1.86
Typical High
$1.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.32
Median
$1.86
Typical High
$1.86
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.20
Median
$0.28
Typical High
$0.28
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.13
Median
$0.19
Typical High
$0.19
Ambetter
Setting
Professional
Modifier
None
Typical Low
$2.24
Median
$2.24
Typical High
$2.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.29
Median
$2.29
Typical High
$2.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$1.95
Typical High
$2.29
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$2.14
Median
$4.68
Typical High
$5.01
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
United
Setting
Professional
Modifier
None
Typical Low
$1.48
Median
$2.00
Typical High
$3.80

Where New Jersey sits

The same service costs 2.1 times more in Idaho than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 51st of 51

$1.95

ID $4.07NJ $1.95

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.