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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 July 2026.

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

$2.29

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $2.29 for this service. The price depends on where it is billed: about $2.29 from a physician practice, and about $1.86 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 5 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$2.29$1.62 to $2.51
FacilityA hospital or hospital-owned outpatient department$1.86$1.86 to $2.29

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $4Professionalmedian $2 · 10th to 90th $1 to $3
$0.0$0.1$0.5$2.0$10.0facility $2professional $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
$1.86
Median
$1.86
Typical High
$1.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.86
Typical High
$3.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$2.29
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$3.47
Typical High
$5.01
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.78
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$2.14
Typical High
$3.80

Where New Jersey 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.

New Jersey $2.29 · 38th 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.