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 | $2.49 - $3.05 | |||||
| Altru Home Services-Durable Medical Equipment | Grand Forks, ND | $2.49 - $3.05 | |||||
| Altru Specialty Services Crookston | Crookston, MN | $2.49 - $3.05 | |||||
| Altru Specialty Services Roseau | Roseau, MN | $2.49 - $3.05 | |||||
 |
Apria Healthcare Inc - Home Oxygen & Medical Equipment (22) | $2.49 - $3.05 | |||||
| Apria Healthcare Inc | Wisconsin Rapids, WI | $2.49 - $3.05 | |||||
| Apria Healthcare Inc | Rothschild, WI | $2.49 - $3.05 | |||||
| Apria Healthcare Inc | Rochester, MN | $2.49 - $3.05 | |||||
| Apria Healthcare Inc | Spearfish, SD | $2.49 - $3.05 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Duluth, MN | $2.49 - $3.05 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Neenah, WI | $2.49 - $3.05 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Onalaska, WI | $2.49 - $3.05 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Minocqua, WI | $2.49 - $3.05 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Rice Lake, WI | $2.49 - $3.05 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Eau Claire, WI | $2.49 - $3.05 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Monona, WI | $2.49 - $3.05 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Minnetonka, MN | $2.49 - $3.05 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Rochester, MN | $2.49 - $3.05 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Rapid City, SD | $2.49 - $3.05 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Saint Cloud, MN | $2.49 - $3.05 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | New Berlin, WI | $2.49 - $3.05 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Saint Paul, MN | $2.49 - $3.05 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Sioux Falls, SD | $2.49 - $3.05 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Marshfield, WI | $2.49 - $3.05 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Green Bay, WI | $2.49 - $3.05 | |||||
| Apria Pharmacy Network | Oxnard, CA | $2.49 - $3.05 | |||||
| Apria Pharmacy Network | Folcroft, PA | $2.49 - $3.05 | |||||
|
Byram Healthcare Centers Inc (8) | $2.49 - $3.05 | |||||
| Byram Healthcare Centers Inc | White Plains, NY | $2.49 - $3.05 | |||||
| Byram Healthcare Centers Inc | Clearwater, FL | $2.49 - $3.05 | |||||
| Byram Healthcare Centers Inc | Denver, CO | $2.49 - $3.05 | |||||
| Byram Healthcare Centers Inc | Somerset, NJ | $2.49 - $3.05 | |||||
| Byram Healthcare Centers Inc | Worcester, MA | $2.49 - $3.05 | |||||
| Byram Healthcare Centers Inc | Downers Grove, IL | $2.49 - $3.05 | |||||
| Byram Healthcare Centers Inc | Marietta, GA | $2.49 - $3.05 | |||||
| Byram Healthcare Centers Inc | South Bend, IN | $2.49 - $3.05 | |||||
| Care Medical Supply, Inc | Sauk Rapids, MN | $2.49 - $3.05 | |||||
| Dahl Home Medical Supply | Minneapolis, MN | $2.49 - $3.05 | |||||
|
Edgepark Medical Supplies (5) | $2.49 - $3.05 | |||||
| Edgepark Medical Supplies | Jacksonville, FL | $2.49 - $3.05 | |||||
| Edgepark Medical Supplies | Rancho Cucamonga, CA | $2.49 - $3.05 | |||||
| Edgepark Medical Supplies | Fort Worth, TX | $2.49 - $3.05 | |||||
| Edgepark Medical Supplies | Clifton Park, NY | $2.49 - $3.05 | |||||
| Edgepark Medical Supplies | Twinsburg, OH | $2.49 - $3.05 | |||||
| Essentia Health Medical Equipment & Supplies | Duluth, MN | $2.49 - $3.05 | |||||
| Family Rexall Drug Inc | Hutchinson, MN | $2.49 - $3.05 | |||||
| Handi Medical Supply | Saint Paul, MN | $2.49 - $3.05 | |||||
| Handi Medical Supply | Saint Paul, MN | $2.49 - $3.05 | |||||
| Jons Drug Inc | Eveleth, MN | $2.49 - $3.05 | |||||
| Key Medical Supply Inc | Shoreview, MN | $2.49 - $3.05 | |||||
| Lake Superior Medical Equipment, Inc. | Duluth, MN | $2.49 - $3.05 | |||||
|
Mayo Clinic Store (3) | $2.84 - $2.88 | |||||
| Mayo Clinic Store | Rochester, MN | $2.84 - $2.88 | |||||
| Mayo Clinic Store - Siebens | Rochester, MN | $2.84 - $2.88 | |||||
| Mayo Clinic Store-Sleep Apnea Supplies | Rochester, MN | $2.84 - $2.88 | |||||
|
MeritCare HealthCare Accessories LLC (14) | $2.49 - $3.05 | |||||
| MeritCare Healthcare Accessories LLC | Bismarck, ND | $2.49 - $3.05 | |||||
| MeritCare Healthcare Accessories LLC | Minot, ND | $2.49 - $3.05 | |||||
| MeritCare Healthcare Accessories LLC | East Grand Forks, MN | $2.49 - $3.05 | |||||
| MeritCare Healthcare Accessories LLC | Bismarck, ND | $2.49 - $3.05 | |||||
| MeritCare Healthcare Accessories LLC | Fargo, ND | $2.49 - $3.05 | |||||
| MeritCare Healthcare Accessories LLC | Jamestown, ND | $2.49 - $3.05 | |||||
| MeritCare Healthcare Accessories LLC | Jamestown, ND | $2.49 - $3.05 | |||||
| MeritCare Healthcare Accessories LLC | Bemidji, MN | $2.49 - $3.05 | |||||
| MeritCare Healthcare Accessories LLC | Minot, ND | $2.49 - $3.05 | |||||
| MeritCare Healthcare Accessories LLC | Fargo, ND | $2.49 - $3.05 | |||||
| MeritCare Healthcare Accessories LLC | Thief River Falls, MN | $2.49 - $3.05 | |||||
| MeritCare Healthcare Accessories LLC | Bemidji, MN | $2.49 - $3.05 | |||||
| MeritCare Healthcare Accessories LLC | Thief River Falls, MN | $2.49 - $3.05 | |||||
| Sanford Healthcare Accessories | East Grand Forks, MN | $2.49 - $3.05 | |||||
|
Merwin Home Medical (3) | $2.49 - $3.05 | |||||
| Merwin Home Medical | New Hope, MN | $2.49 - $3.05 | |||||
| Merwin Home Medical | Minneapolis, MN | $2.49 - $3.05 | |||||
| Merwin Home Medical | Saint Cloud, MN | $2.49 - $3.05 | |||||
| Midwest Medical Services | Mounds View, MN | $2.49 - $3.05 | |||||
| Moore Medical Service | Fairmont, MN | $2.49 - $3.05 | |||||
| North Central Medical Supply Inc | Brainerd, MN | $2.49 - $3.05 | |||||
|
Park Nicollet Health Care Products (20) | $2.84 - $2.88 | |||||
| Health & Care Store @ Park Nicollet | Shakopee, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Health & Care Store | Saint Louis Park, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Health & Care Store | Saint Louis Park, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Health & Care Store | Burnsville, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Health & Care Store | Saint Louis Park, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Orthotics & Prosthetics | Saint Louis Park, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Pharmacy | Eagan, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Pharmacy | Saint Louis Park, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Pharmacy | Wayzata, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Pharmacy | Chanhassen, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Pharmacy | Minneapolis, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Pharmacy | Saint Louis Park, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Pharmacy | Brooklyn Center, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Pharmacy | Minnetonka, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Pharmacy | Saint Louis Park, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Pharmacy | Burnsville, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Pharmacy | Bloomington, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Pharmacy | Bloomington, MN | $2.84 - $2.88 | |||||
| Park Nicollet Health Care Products - Pharmacy | Maple Grove, MN | $2.84 - $2.88 | |||||
| Park Nicollet Jane Brattain Boutique | Saint Louis Park, MN | $2.84 - $2.88 | |||||
| Sanford Healthcare Accessories LLC | Fargo, ND | $2.49 - $3.05 | |||||
| Sanford Healthcare Accessories LLC | Fargo, ND | $2.49 - $3.05 | |||||
|
Thrifty White Drug (54) | $2.49 - $3.05 | |||||
| City Center Drug | Morris, MN | $2.49 - $3.05 | |||||
| Eagle Drug | Crookston, MN | $2.49 - $3.05 | |||||
| Thelen Thrifty White Drug | Mahnomen, MN | $2.49 - $3.05 | |||||
| Thrifty White | Wadena, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | New Ulm, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Bemidji, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Walker, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Fertile, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Madison, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Osakis, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Brainerd, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Walker, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Grand Rapids, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Marshall, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Red Lake Falls, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Clearbrook, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Waseca, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Granite Falls, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Moorhead, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Brainerd, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Red Wing, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Crookston, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Hastings, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Maple Grove, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Moose Lake, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Lake Park, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Saint Michael, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Eden Prairie, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Hibbing, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Morris, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Ada, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Springfield, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Fergus Falls, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Hibbing, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Mound, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Bagley, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Thief River Falls, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Fergus Falls, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Karlstad, MN | $2.49 - $3.05 | |||||
| Thrifty White Pharmacy | Cold Spring, MN | $2.49 - $3.05 | |||||
| Thrifty White Pharmacy | Sandstone, MN | $2.49 - $3.05 | |||||
| Thrifty White Pharmacy | Princeton, MN | $2.49 - $3.05 | |||||
| Thrifty White Pharmacy | Bemidji, MN | $2.49 - $3.05 | |||||
| Thrifty White Pharmacy | Moose Lake, MN | $2.49 - $3.05 | |||||
| Thrifty White Pharmacy | Renville, MN | $2.49 - $3.05 | |||||
| Thrifty White Pharmacy | Montevideo, MN | $2.49 - $3.05 | |||||
| Thrifty White Pharmacy | Westbrook, MN | $2.49 - $3.05 | |||||
| Thrifty White Pharmacy | Forest Lake, MN | $2.49 - $3.05 | |||||
| Thrifty White Pharmacy | Tyler, MN | $2.49 - $3.05 | |||||
| Thrifty White Pharmacy | Ashby, MN | $2.49 - $3.05 | |||||
| Thrifty White Pharmacy | Duluth, MN | $2.49 - $3.05 | |||||
| Thrifty White Pharmacy | Slayton, MN | $2.49 - $3.05 | |||||
| Thrifty White Pharmacy | Milaca, MN | $2.49 - $3.05 | |||||
| Whalen Woods | Walker, MN | $2.49 - $3.05 | |||||
|
Thrifty White Drug / White Drug (14) | $2.49 - $3.05 | |||||
| Thrifty White Drug | Perham, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Stoughton, WI | $2.49 - $3.05 | |||||
| Thrifty White Drug | Clear Lake, IA | $2.49 - $3.05 | |||||
| Thrifty White Drug | Willmar, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Webster City, IA | $2.49 - $3.05 | |||||
| Thrifty White Drug | Alexandria, MN | $2.49 - $3.05 | |||||
| Thrifty White Drug | Beaver Dam, WI | $2.49 - $3.05 | |||||
| Thrifty White Drug | Denison, IA | $2.49 - $3.05 | |||||
| White Drug | Deadwood, SD | $2.49 - $3.05 | |||||
| White Drug | Cloquet, MN | $2.49 - $3.05 | |||||
| White Drug | Detroit Lakes, MN | $2.49 - $3.05 | |||||
| White Drug | Virginia, MN | $2.49 - $3.05 | |||||
| White Drug | Spencer, IA | $2.49 - $3.05 | |||||
| White Drug | Sidney, MT | $2.49 - $3.05 | |||||
| Tonka Medical Supplies Inc | Saint Louis Park, MN | $2.49 - $3.05 |
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