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Ostomy Pouch, Urinary, Barrier with Flange

Iowa rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Rates data updated July 2026.

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

$3.31

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $3.31 for this service. The price depends on where it is billed: about $3.31 from a physician practice, and about $3.63 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 7 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$3.31$2.69 to $3.89
FacilityA hospital or hospital-owned outpatient department$3.63$2.82 to $4.90

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $11Professionalmedian $3 · 10th to 90th $2 to $6
$2.0$5.0$10.0$20.0$50.0$100.0facility $4professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$3.16
Typical High
$3.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.09
Typical High
$3.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$4.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$5.25
Typical High
$6.61
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.90
Typical High
$7.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$4.90
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$2.69
Typical High
$6.61
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$5.13
Typical High
$5.75
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$5.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$7.41
Typical High
$7.41
United
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$2.04
Typical High
$4.47
United
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.19
Typical High
$4.47
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.55
Typical High
$3.55

Where Iowa sits

The same service costs 2.4 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $3.31 · 16th of 51
HI $5.13CO $2.14

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.