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Ostomy Pouch, Drainable, Barrier with Flange

New Mexico 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?

$2.51

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $2.51 for this service. The price depends on where it is billed: about $2.29 from a physician practice, and about $13.80 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 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$2.29$1.58 to $2.75
FacilityA hospital or hospital-owned outpatient department$13.80$2.82 to $31.62

How much rates vary

Facilitymedian $14 · 10th to 90th $2 to $47Professionalmedian $2 · 10th to 90th $1 to $4
$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $14professional $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
$2.75
Median
$2.75
Typical High
$2.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$2.29
Typical High
$16.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$29.51
Typical High
$50.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$3.02
Typical High
$3.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$5.75
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.50
Typical High
$8.32
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$2.82
Typical High
$4.57
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$3.98
United
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$1.62
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.58
Typical High
$2.40

Where New Mexico 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 Mexico $2.51 · 24th 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.