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Ostomy Pouch, Drainable, Barrier with Flange

Vermont 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?

$2.57

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $2.57 for this service. Most negotiated rates run $2.14 to $3.09.

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.

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $2Professionalmedian $3 · 10th to 90th $2 to $4
$2.0$5.0$10.0facility $2professional $3

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.57
Typical High
$3.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$3.09
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
$2.40
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$3.72
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.32
Typical High
$1.74
United
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$2.34
Typical High
$7.59

Where Vermont 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.

Vermont $2.57 · 21st 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.