Ostomy Pouch ;Barrier with Flange

A5063 is the Healthcare Common Procedure Code System (HCPCS) code used to bill for this item. Estimates below are based on Medica Choice network contract rates.

Note: The estimates below are based on Medica Choice network contract rates. How were these costs calculated?

Cost Key:
Lower Cost Medium Cost Higher Cost
Facility     City/State Average Cost Range                         
  ActivStyle Inc Minneapolis, MN $2.51 - $3.33  
  Brainerd Medical Supply Inc Brainerd, MN $2.51 - $3.33  
  Byram Healthcare Centers Inc Downers Grove, IL $2.51 - $3.33  
  Care Medical Supply Inc Sauk Rapids, MN $2.51 - $3.33  
Expand group Corner Medical LLC (3) $2.51 - $3.33
  Edgepark Medical Supplies Twinsburg, OH $2.51 - $3.33  
  Globe Drug and Medical Equipment Grand Rapids, MN $2.51 - $3.33  
  Handi Medical Supply Saint Paul, MN $2.51 - $3.33  
Expand group Mayo Clinic Store (2) $2.51 - $3.33
Expand group Midwest Medical Equipment and Supply (2) $2.51 - $3.33
  Midwest Medical Services Inc Saint Paul, MN $2.51 - $3.33  
Expand group Park Nicollet Health Care Products and Pharmacies (2) $2.51 - $3.33
Expand group Sanford Home Medical Equipment (3) $2.51 - $3.33
  Sterling Drug #3 Albert Lea, MN $2.51 - $3.33  

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