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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 October 2026.

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

$2.40

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $2.40 for this service. The price depends on where it is billed: about $2.34 from a physician practice, and about $15.85 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.34$1.86 to $3.02
FacilityA hospital or hospital-owned outpatient department$15.85$2.69 to $30.20

How much rates vary

Facilitymedian $16 · 10th to 90th $1 to $43Professionalmedian $2 · 10th to 90th $1 to $5
$1$2$5$10$20$50facility $16professional $2

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2.75
Median
$2.75
Typical High
$2.75
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.05
Median
$2.69
Typical High
$2.75
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$28.84
Typical High
$45.71
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$2.29
Median
$3.02
Typical High
$3.63
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.29
Median
$2.29
Typical High
$2.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$1.95
Typical High
$2.29
Molina
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$5.50
Typical High
$5.62
Providence
Setting
Facility
Modifier
None
Typical Low
$1.05
Median
$2.29
Typical High
$2.95
Providence
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$1.95
Typical High
$3.98
United
Setting
Professional
Modifier
None
Typical Low
$1.48
Median
$1.58
Typical High
$2.40

Where New Mexico 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 Mexico· 27th of 51

$2.40

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.