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Ostomy Pouch, Drainable, Barrier with Flange

South Carolina 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?

$3.02

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $3.02 for this service. The price depends on where it is billed: about $2.45 from a physician practice, and about $3.02 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$2.45$1.95 to $3.31
FacilityA hospital or hospital-owned outpatient department$3.02$2.57 to $3.80

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $5Professionalmedian $2 · 10th to 90th $2 to $3
$0.0$0.1$0.5$2.0$10.0facility $3professional $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
$3.02
Median
$3.02
Typical High
$3.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$3.02
Typical High
$3.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$3.47
Typical High
$3.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$4.07
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$2.29
Typical High
$2.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$4.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$2.45
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$3.47
Typical High
$6.17
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.05
Typical High
$1.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$2.57
United
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.48
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.82
Typical High
$2.45

Where South Carolina 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.

South Carolina $3.02 · 13th 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.