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Ostomy Pouch, Urinary, Barrier with Flange

Michigan 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?

$3.39

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $3.39 for this service. The price depends on where it is billed: about $3.39 from a physician practice, and about $4.68 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$3.39$2.34 to $4.47
FacilityA hospital or hospital-owned outpatient department$4.68$3.39 to $13.49

How much rates vary

Facilitymedian $5 · 10th to 90th $2 to $20Professionalmedian $3 · 10th to 90th $2 to $4
$0.1$1.0$10.0facility $5professional $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
$3.39
Median
$3.39
Typical High
$3.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$2.75
Typical High
$3.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$13.49
Typical High
$25.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$4.57
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$3.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.40
Typical High
$3.31
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$3.39
Typical High
$9.33
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.55
Typical High
$5.37
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$2.40
Typical High
$3.63
United
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$1.74
Typical High
$2.82
United
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$2.09
Typical High
$3.16

Where Michigan 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.

Michigan $3.39 · 15th 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.