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Ostomy Pouch, Urinary, Barrier with Flange

Massachusetts 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?

$3.89

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $3.89 for this service. The price depends on where it is billed: about $3.89 from a physician practice, and about $3.16 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 9 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$3.89$2.19 to $3.89
FacilityA hospital or hospital-owned outpatient department$3.16$1.95 to $9.33

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $79Professionalmedian $4 · 10th to 90th $2 to $6
$10$100$1K$10Kfacility $3professional $4

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
$1.95
Median
$1.95
Typical High
$1.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.34
Typical High
$7.08
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$4.57
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$3.47
Typical High
$5.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$8.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$2.75
Typical High
$3.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$4.07
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$5.89
Health New England
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$4.57
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$3.47
Typical High
$5.37
United
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$2.04
Typical High
$4.57
United
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$3.47
Typical High
$3.98

Where Massachusetts sits

The same service costs 2.4 times more in Hawaii than in Colorado. 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.

Massachusetts· 8th of 51

$3.89

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.