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Ostomy Pouch, Urinary, Barrier with Flange

New Jersey 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?

$2.69

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $2.69 for this service. The price depends on where it is billed: about $2.69 from a physician practice, and about $2.19 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 5 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$2.69$1.86 to $2.95
FacilityA hospital or hospital-owned outpatient department$2.19$2.19 to $2.69

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $5Professionalmedian $3 · 10th to 90th $1 to $4
$0.1$0.2$1.0$5.0facility $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$2.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$2.19
Typical High
$3.80
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
$2.29
Typical High
$2.69
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.55
Typical High
$5.89
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
United
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$2.09
Typical High
$4.57
United
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.45
Typical High
$4.47

Where New Jersey 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.

New Jersey $2.69 · 36th 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.