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Ostomy Pouch, Urinary, Barrier with Flange

West Virginia 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?

$2.40

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $2.40 for this service. The price depends on where it is billed: about $2.40 from a physician practice, and about $2.40 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 4 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$2.40$2.34 to $2.88
FacilityA hospital or hospital-owned outpatient department$2.40$2.40 to $2.40

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $6Professionalmedian $2 · 10th to 90th $2 to $3
$2.0$5.0$10.0$20.0facility $2professional $2

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. 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
Global
Typical Low
$2.40
Median
$2.40
Typical High
$2.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.40
Typical High
$3.02
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$6.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$5.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$6.17
Typical High
$6.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$1.70
Typical High
$2.88
United
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.51
Typical High
$3.80

Where West Virginia 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.

West Virginia $2.40 · 45th 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.