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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 October 2026.

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

$2.29

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $2.29 for this service. Most negotiated rates run $2.19 to $2.95.

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 $3 · 10th to 90th $2 to $3Professionalmedian $2 · 10th to 90th $2 to $3
$2$5facility $3professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.55
Median
$2.19
Typical High
$2.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.55
Median
$2.19
Typical High
$2.19
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.23
Median
$0.33
Typical High
$0.33
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.16
Median
$0.22
Typical High
$0.22
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.69
Median
$2.69
Typical High
$3.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.29
Median
$2.29
Typical High
$2.69
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$2.75
Median
$5.25
Typical High
$5.89
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
United
Setting
Professional
Modifier
None
Typical Low
$1.74
Median
$2.34
Typical High
$4.47

Where New Jersey sits

The same service costs 2.3 times more in Hawaii than in Connecticut. 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.

New Jersey· 41st of 51

$2.29

HI $5.13CT $2.24

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.