Details: 4x4 Inch or Smaller. A4407 is the Healthcare Common Procedure Code System (HCPCS) code used to bill for this item.
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 ![]() |
||
|---|---|---|---|---|
![]() |
Apria Healthcare Inc - Home Oxygen & Medical Equipment (22) | $5.55 - $5.95 | |||||
| Apria Healthcare Inc | Wisconsin Rapids, WI | $5.55 - $5.95 | |||||
| Apria Healthcare Inc | Rochester, MN | $5.55 - $5.95 | |||||
| Apria Healthcare Inc | Rothschild, WI | $5.55 - $5.95 | |||||
| Apria Healthcare Inc | Spearfish, SD | $5.55 - $5.95 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Minnetonka, MN | $5.55 - $5.95 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Rochester, MN | $5.55 - $5.95 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Rapid City, SD | $5.55 - $5.95 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Saint Cloud, MN | $5.55 - $5.95 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | New Berlin, WI | $5.55 - $5.95 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Saint Paul, MN | $5.55 - $5.95 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Sioux Falls, SD | $5.55 - $5.95 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Marshfield, WI | $5.55 - $5.95 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Green Bay, WI | $5.55 - $5.95 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Duluth, MN | $5.55 - $5.95 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Neenah, WI | $5.55 - $5.95 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Onalaska, WI | $5.55 - $5.95 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Minocqua, WI | $5.55 - $5.95 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Rice Lake, WI | $5.55 - $5.95 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Eau Claire, WI | $5.55 - $5.95 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Monona, WI | $5.55 - $5.95 | |||||
| Apria Pharmacy Network | Oxnard, CA | $5.55 - $5.95 | |||||
| Apria Pharmacy Network | Folcroft, PA | $5.55 - $5.95 | |||||
![]() |
Byram Healthcare Centers Inc (8) | $5.55 - $5.95 | |||||
| Byram Healthcare Centers Inc | South Bend, IN | $5.55 - $5.95 | |||||
| Byram Healthcare Centers Inc | White Plains, NY | $5.55 - $5.95 | |||||
| Byram Healthcare Centers Inc | Clearwater, FL | $5.55 - $5.95 | |||||
| Byram Healthcare Centers Inc | Denver, CO | $5.55 - $5.95 | |||||
| Byram Healthcare Centers Inc | Somerset, NJ | $5.55 - $5.95 | |||||
| Byram Healthcare Centers Inc | Worcester, MA | $5.55 - $5.95 | |||||
| Byram Healthcare Centers Inc | Downers Grove, IL | $5.55 - $5.95 | |||||
| Byram Healthcare Centers Inc | Marietta, GA | $5.55 - $5.95 | |||||
| Dahl Home Medical Supply | Minneapolis, MN | $5.55 - $5.95 | |||||
![]() |
Edgepark Medical Supplies (5) | $5.55 - $5.95 | |||||
| Edgepark Medical Supplies | Jacksonville, FL | $5.55 - $5.95 | |||||
| Edgepark Medical Supplies | Rancho Cucamonga, CA | $5.55 - $5.95 | |||||
| Edgepark Medical Supplies | Fort Worth, TX | $5.55 - $5.95 | |||||
| Edgepark Medical Supplies | Clifton Park, NY | $5.55 - $5.95 | |||||
| Edgepark Medical Supplies | Twinsburg, OH | $5.55 - $5.95 | |||||
| Essentia Health Medical Equipment & Supplies | Duluth, MN | $5.55 - $5.95 | |||||
| Family Rexall Drug Inc | Hutchinson, MN | $5.55 - $5.95 | |||||
![]() |
Great Plains Health Company (6) | $5.55 - $5.95 | |||||
| Great Plains Health Company | Fargo, ND | $5.55 - $5.95 | |||||
| Great Plains Health Company | Fargo, ND | $5.55 - $5.95 | |||||
| Great Plains Rehabilitation Services | Minot, ND | $5.55 - $5.95 | |||||
| Great Plains Rehabilitation Services | Bismarck, ND | $5.55 - $5.95 | |||||
| Great Plains Rehabilitation Services | Minot, ND | $5.55 - $5.95 | |||||
| Great Plains Rehabilitation Services | Bismarck, ND | $5.55 - $5.95 | |||||
| Handi Medical Supply | Saint Paul, MN | $5.55 - $5.95 | |||||
| Handi Medical Supply | Saint Paul, MN | $5.55 - $5.95 | |||||
![]() |
Home Medical Products & Services (11) | $4.48 - $5.25 | |||||
| Home Medical Products & Services | Hurley, WI | $4.48 - $5.25 | |||||
| Home Medical Products & Services | Ironwood, MI | $4.48 - $5.25 | |||||
| Home Medical Products & Services | Merrill, WI | $4.48 - $5.25 | |||||
| Home Medical Products & Services | Antigo, WI | $4.48 - $5.25 | |||||
| Home Medical Products & Services | Minocqua, WI | $4.48 - $5.25 | |||||
| Home Medical Products & Services | Ashland, WI | $4.48 - $5.25 | |||||
| Home Medical Products & Services | Rhinelander, WI | $4.48 - $5.25 | |||||
| Home Medical Products & Services | Grand Rapids, MN | $4.48 - $5.25 | |||||
| Home Medical Products & Services | Rice Lake, WI | $4.48 - $5.25 | |||||
| Home Medical Products & Services | Hayward, WI | $4.48 - $5.25 | |||||
| Home Medical Products & Services | Superior, WI | $4.48 - $5.25 | |||||
| Jons Drug Inc | Eveleth, MN | $5.55 - $5.95 | |||||
![]() |
Mayo Clinic Store (3) | $5.55 - $5.95 | |||||
| Mayo Clinic Store | Rochester, MN | $5.55 - $5.95 | |||||
| Mayo Clinic Store - Siebens | Rochester, MN | $5.55 - $5.95 | |||||
| Mayo Clinic Store-Sleep Apnea Supplies | Rochester, MN | $5.55 - $5.95 | |||||
![]() |
MeritCare HealthCare Accessories LLC (14) | $5.55 - $5.95 | |||||
| MeritCare Healthcare Accessories LLC | Minot, ND | $5.55 - $5.95 | |||||
| MeritCare Healthcare Accessories LLC | Bemidji, MN | $5.55 - $5.95 | |||||
| MeritCare Healthcare Accessories LLC | Bismarck, ND | $5.55 - $5.95 | |||||
| MeritCare Healthcare Accessories LLC | Bismarck, ND | $5.55 - $5.95 | |||||
| MeritCare Healthcare Accessories LLC | Jamestown, ND | $5.55 - $5.95 | |||||
| MeritCare Healthcare Accessories LLC | East Grand Forks, MN | $5.55 - $5.95 | |||||
| MeritCare Healthcare Accessories LLC | Jamestown, ND | $5.55 - $5.95 | |||||
| MeritCare Healthcare Accessories LLC | Bemidji, MN | $5.55 - $5.95 | |||||
| MeritCare Healthcare Accessories LLC | Fargo, ND | $5.55 - $5.95 | |||||
| MeritCare Healthcare Accessories LLC | Minot, ND | $5.55 - $5.95 | |||||
| MeritCare Healthcare Accessories LLC | Fargo, ND | $5.55 - $5.95 | |||||
| MeritCare Healthcare Accessories LLC | Thief River Falls, MN | $5.55 - $5.95 | |||||
| MeritCare Healthcare Accessories LLC | Thief River Falls, MN | $5.55 - $5.95 | |||||
| Sanford Healthcare Accessories | East Grand Forks, MN | $5.55 - $5.95 | |||||
![]() |
Merwin Home Medical (3) | $5.55 - $5.95 | |||||
| Merwin Home Medical | Saint Cloud, MN | $5.55 - $5.95 | |||||
| Merwin Home Medical | New Hope, MN | $5.55 - $5.95 | |||||
| Merwin Home Medical | Minneapolis, MN | $5.55 - $5.95 | |||||
| Midwest Medical Services | Mounds View, MN | $5.55 - $5.95 | |||||
| Moore Medical Service | Fairmont, MN | $4.48 - $5.25 | |||||
| North Central Medical Supply Inc | Brainerd, MN | $5.55 - $5.95 | |||||
![]() |
Park Nicollet Health Care Products (20) | $5.55 - $5.95 | |||||
| Health & Care Store @ Park Nicollet | Shakopee, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Health & Care Store | Burnsville, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Health & Care Store | Saint Louis Park, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Health & Care Store | Saint Louis Park, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Health & Care Store | Saint Louis Park, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Orthotics & Prosthetics | Saint Louis Park, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Pharmacy | Minneapolis, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Pharmacy | Saint Louis Park, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Pharmacy | Brooklyn Center, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Pharmacy | Minnetonka, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Pharmacy | Burnsville, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Pharmacy | Saint Louis Park, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Pharmacy | Bloomington, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Pharmacy | Bloomington, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Pharmacy | Maple Grove, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Pharmacy | Eagan, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Pharmacy | Saint Louis Park, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Pharmacy | Chanhassen, MN | $5.55 - $5.95 | |||||
| Park Nicollet Health Care Products - Pharmacy | Wayzata, MN | $5.55 - $5.95 | |||||
| Park Nicollet Jane Brattain Boutique | Saint Louis Park, MN | $5.55 - $5.95 | |||||
| Pediatric Home Services - Home Medical Equipment | Roseville, MN | $7.62 - $9.32 | |||||
| Phoenix Medical Service, Inc | Roseville, MN | $5.55 - $5.95 | |||||
![]() |
Rice Home Medical (5) | $5.55 - $5.95 | |||||
| Rice Home Medical | Alexandria, MN | $5.55 - $5.95 | |||||
| Rice Home Medical LLC | Glenwood, MN | $5.55 - $5.95 | |||||
| Rice Home Medical LLC | Madison, MN | $5.55 - $5.95 | |||||
| Rice Home Medical LLC | Redwood Falls, MN | $5.55 - $5.95 | |||||
| Rice Home Medical LLC | Willmar, MN | $5.55 - $5.95 | |||||
| Sanford Healthcare Accessories LLC | Fargo, ND | $5.55 - $5.95 | |||||
| Sanford Healthcare Accessories LLC | Fargo, ND | $5.55 - $5.95 | |||||
![]() |
Sanford Home Medical Equipment (36) | $5.55 - $5.95 | |||||
| Sanford Home Care Canby | Canby, MN | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Sioux Falls, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Sioux Falls, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Sioux Falls, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Burke, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Luverne, MN | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Worthington, MN | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Vermillion, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Spirit Lake, IA | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Chamberlain, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Sheldon, IA | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Huron, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Sioux Falls, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Orange City, IA | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Cherokee, IA | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Canton, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Canby, MN | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Windom, MN | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Sioux Falls, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment | Brookings, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment - Cherokee | Cherokee, IA | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment - E Sioux | Sioux Falls, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment - Orange City | Orange City, IA | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment-Brookings | Brookings, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment-Burke | Burke, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment-Canton | Canton, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment-Chamberlain | Chamberlain, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment-Huron | Huron, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment-Luverne | Luverne, MN | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment-MBII | Sioux Falls, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment-North Center | Sioux Falls, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment-Sheldon | Sheldon, IA | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment-Spirit Lake | Spirit Lake, IA | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment-Vermillion | Vermillion, SD | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment-Windom | Windom, MN | $5.55 - $5.95 | |||||
| Sanford Home Medical Equipment-Worthington | Worthington, MN | $5.55 - $5.95 | |||||
| Sterling Medical Services LLC | Moorestown, NJ | $5.55 - $5.95 | |||||
![]() |
Thrifty White Drug (54) | $5.55 - $5.95 | |||||
| City Center Drug | Morris, MN | $5.55 - $5.95 | |||||
| Eagle Drug | Crookston, MN | $5.55 - $5.95 | |||||
| Thelen Thrifty White Drug | Mahnomen, MN | $5.55 - $5.95 | |||||
| Thrifty White | Wadena, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Thief River Falls, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Fergus Falls, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Karlstad, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Brainerd, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | New Ulm, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Bemidji, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Walker, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Fertile, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Madison, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Osakis, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Brainerd, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Walker, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Grand Rapids, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Marshall, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Red Lake Falls, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Clearbrook, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Waseca, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Granite Falls, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Moorhead, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Red Wing, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Crookston, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Hastings, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Maple Grove, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Moose Lake, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Lake Park, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Saint Michael, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Eden Prairie, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Hibbing, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Morris, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Ada, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Springfield, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Fergus Falls, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Hibbing, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Mound, MN | $5.55 - $5.95 | |||||
| Thrifty White Drug | Bagley, MN | $5.55 - $5.95 | |||||
| Thrifty White Pharmacy | Slayton, MN | $5.55 - $5.95 | |||||
| Thrifty White Pharmacy | Milaca, MN | $5.55 - $5.95 | |||||
| Thrifty White Pharmacy | Cold Spring, MN | $5.55 - $5.95 | |||||
| Thrifty White Pharmacy | Sandstone, MN | $5.55 - $5.95 | |||||
| Thrifty White Pharmacy | Princeton, MN | $5.55 - $5.95 | |||||
| Thrifty White Pharmacy | Moose Lake, MN | $5.55 - $5.95 | |||||
| Thrifty White Pharmacy | Renville, MN | $5.55 - $5.95 | |||||
| Thrifty White Pharmacy | Montevideo, MN | $5.55 - $5.95 | |||||
| Thrifty White Pharmacy | Westbrook, MN | $5.55 - $5.95 | |||||
| Thrifty White Pharmacy | Bemidji, MN | $5.55 - $5.95 | |||||
| Thrifty White Pharmacy | Forest Lake, MN | $5.55 - $5.95 | |||||
| Thrifty White Pharmacy | Tyler, MN | $5.55 - $5.95 | |||||
| Thrifty White Pharmacy | Ashby, MN | $5.55 - $5.95 | |||||
| Thrifty White Pharmacy | Duluth, MN | $5.55 - $5.95 | |||||
| Whalen Woods | Walker, MN | $5.55 - $5.95 | |||||
| Tonka Medical Supplies Inc | Saint Louis Park, MN | $5.55 - $5.95 |
Links to other Web sites are provided for your convenience and are for informational purposes only. The information given by these Web sites is not medical advice and is not intended as a substitute for medical care provided by a physician. Medica assumes no responsibility for any circumstances arising out of the use, misuse, interpretation or application of any information or other material provided on these sites.