E0570 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 ![]() |
||
|---|---|---|---|---|
![]() |
Allina Community Pharmacies (15) | $171.05 - $184.06 | |||||
| Abbott NW Medical Bldg Pharmacy | Minneapolis, MN | $171.05 - $184.06 | |||||
| Abbott NW Piper Bldg Pharmacy | Minneapolis, MN | $171.05 - $184.06 | |||||
| Cottage Grove Pharmacy | Cottage Grove, MN | $171.05 - $184.06 | |||||
| Healthcare Pharmacy | Coon Rapids, MN | $171.05 - $184.06 | |||||
| Heart Hospital | Minneapolis, MN | $171.05 - $184.06 | |||||
| Medical Arts Building | Minneapolis, MN | $171.05 - $184.06 | |||||
| Mercy Hospital Outpatient Pharmacy | Coon Rapids, MN | $171.05 - $184.06 | |||||
| Owatonna Pharmacy Care | Owatonna, MN | $171.05 - $184.06 | |||||
| PEI Pharmacy | Minneapolis, MN | $171.05 - $184.06 | |||||
| Ritchie Medical Plaza Pharmacy | Saint Paul, MN | $171.05 - $184.06 | |||||
| Rum River Drug | Cambridge, MN | $171.05 - $184.06 | |||||
| United Hospital Outpatient Pharmacy | Saint Paul, MN | $171.05 - $184.06 | |||||
| Unity Community Pharmacy | Fridley, MN | $171.05 - $184.06 | |||||
| Westhealth Pharmacy | Plymouth, MN | $171.05 - $184.06 | |||||
| Woodbury Pharmacy | Woodbury, MN | $171.05 - $184.06 | |||||
![]() |
Allina Home Oxygen & Medical Equipment (10) | $171.05 - $184.06 | |||||
| Allina Home Oxygen & Medical Equipment | Buffalo, MN | $171.05 - $184.06 | |||||
| Allina Home Oxygen & Medical Equipment | Fridley, MN | $171.05 - $184.06 | |||||
| Allina Home Oxygen & Medical Equipment | Coon Rapids, MN | $171.05 - $184.06 | |||||
| Allina Home Oxygen & Medical Equipment | Minneapolis, MN | $171.05 - $184.06 | |||||
| Allina Home Oxygen & Medical Equipment | Saint Paul, MN | $171.05 - $184.06 | |||||
| Allina Home Oxygen & Medical Equipment | Cambridge, MN | $171.05 - $184.06 | |||||
| Allina Home Oxygen & Medical Equipment | Hutchinson, MN | $171.05 - $184.06 | |||||
| Allina Home Oxygen & Medical Equipment | Owatonna, MN | $171.05 - $184.06 | |||||
| Allina Home Oxygen & Medical Equipment | Saint Paul, MN | $171.05 - $184.06 | |||||
| Allina Home Oxygen & Medical Equipment | New Ulm, MN | $171.05 - $184.06 | |||||
![]() |
Apria Healthcare Inc - Home Oxygen & Medical Equipment (22) | $111.75 - $120.60 | |||||
| Apria Healthcare Inc | Spearfish, SD | $111.75 - $120.60 | |||||
| Apria Healthcare Inc | Wisconsin Rapids, WI | $111.75 - $120.60 | |||||
| Apria Healthcare Inc | Rothschild, WI | $111.75 - $120.60 | |||||
| Apria Healthcare Inc | Rochester, MN | $111.75 - $120.60 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Sioux Falls, SD | $111.75 - $120.60 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Marshfield, WI | $111.75 - $120.60 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Green Bay, WI | $111.75 - $120.60 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Duluth, MN | $111.75 - $120.60 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Neenah, WI | $111.75 - $120.60 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Onalaska, WI | $111.75 - $120.60 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Minocqua, WI | $111.75 - $120.60 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Rice Lake, WI | $111.75 - $120.60 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Eau Claire, WI | $111.75 - $120.60 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Monona, WI | $111.75 - $120.60 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Minnetonka, MN | $111.75 - $120.60 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Rochester, MN | $111.75 - $120.60 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Rapid City, SD | $111.75 - $120.60 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Saint Cloud, MN | $111.75 - $120.60 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | New Berlin, WI | $111.75 - $120.60 | |||||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Saint Paul, MN | $111.75 - $120.60 | |||||
| Apria Pharmacy Network | Folcroft, PA | $111.75 - $120.60 | |||||
| Apria Pharmacy Network | Oxnard, CA | $111.75 - $120.60 | |||||
| Aspen Medical Group - Musculoskeletal Center | Saint Paul, MN | $171.05 - $184.06 | |||||
![]() |
Fairview Home Medical Equipment (4) | $171.05 - $184.06 | |||||
| Fairview Home Medical Equipment | Burnsville, MN | $171.05 - $184.06 | |||||
| Fairview Home Medical Equipment | Saint Paul, MN | $171.05 - $184.06 | |||||
| Fairview Home Medical Equipment | Edina, MN | $171.05 - $184.06 | |||||
| Fairview Home Medical Equipment | Minneapolis, MN | $171.05 - $184.06 | |||||
| Fairview Ortho and Prosth- University | Minneapolis, MN | $171.05 - $184.06 | |||||
![]() |
Fairview Orthotics and Prosthetics (7) | $171.05 - $184.06 | |||||
| Fairview Orthotics and Prosthetics | Saint Paul, MN | $171.05 - $184.06 | |||||
| Fairview Orthotics and Prosthetics | Minneapolis, MN | $171.05 - $184.06 | |||||
| Fairview Orthotics and Prosthetics | Robbinsdale, MN | $171.05 - $184.06 | |||||
| Fairview Orthotics and Prosthetics | Plymouth, MN | $171.05 - $184.06 | |||||
| Fairview Orthotics and Prosthetics | Burnsville, MN | $171.05 - $184.06 | |||||
| Fairview Orthotics and Prosthetics | Edina, MN | $171.05 - $184.06 | |||||
| Fairview Orthotics and Prosthetics | Blaine, MN | $171.05 - $184.06 | |||||
| Fairview Riverside Pharmacy | Minneapolis, MN | $171.05 - $184.06 | |||||
| Fairview Univ Med Ctr Dept of Pharmaceutical Serv | Minneapolis, MN | $171.05 - $184.06 | |||||
![]() |
Lincare Inc (34) | $111.75 - $120.60 | |||||
| Breathe EZ Oxygen & Respiratory Care | Wagner, SD | $111.75 - $120.60 | |||||
| Breathe EZ Oxygen & Respiratory Care | Rapid City, SD | $111.75 - $120.60 | |||||
| Foothills Home Medical Equipment | Sturgis, SD | $111.75 - $120.60 | |||||
| Lincare Inc | Fergus Falls, MN | $111.75 - $120.60 | |||||
| Lincare Inc | Janesville, WI | $111.75 - $120.60 | |||||
| Lincare Inc | Menomonee Falls, WI | $111.75 - $120.60 | |||||
| Lincare Inc | Canton, SD | $111.75 - $120.60 | |||||
| Lincare Inc | Minnesota City, MN | $111.75 - $120.60 | |||||
| Lincare Inc | Beltsville, MD | $111.75 - $120.60 | |||||
| Lincare, Inc. | Big Stone City, SD | $111.75 - $120.60 | |||||
| Lincare, Inc. | Saint Paul, MN | $111.75 - $120.60 | |||||
| Lincare, Inc. | Red Wing, MN | $111.75 - $120.60 | |||||
| Lincare, Inc. | Winner, SD | $111.75 - $120.60 | |||||
| Lincare, Inc. | Wahpeton, ND | $111.75 - $120.60 | |||||
| Lincare, Inc. | Rochester, MN | $111.75 - $120.60 | |||||
| Lincare, Inc. | Eau Claire, WI | $111.75 - $120.60 | |||||
| Lincare, Inc. | Grand Forks, ND | $111.75 - $120.60 | |||||
| Lincare, Inc. | Little Falls, MN | $111.75 - $120.60 | |||||
| Lincare, Inc. | Wessington Springs, SD | $111.75 - $120.60 | |||||
| Lincare, Inc. | Winona, MN | $111.75 - $120.60 | |||||
| Lincare, Inc. | Golden Valley, MN | $111.75 - $120.60 | |||||
| Lincare, Inc. | North Sioux City, SD | $111.75 - $120.60 | |||||
| Lincare, Inc. | Rapid City, SD | $111.75 - $120.60 | |||||
| Lincare, Inc. | Waite Park, MN | $111.75 - $120.60 | |||||
| Lincare, Inc. | Fergus Falls, MN | $111.75 - $120.60 | |||||
| Lincare, Inc. | Willmar, MN | $111.75 - $120.60 | |||||
| Lincare, Inc. | Pierre, SD | $111.75 - $120.60 | |||||
| Lincare, Inc. | Thief River Falls, MN | $111.75 - $120.60 | |||||
| Lincare, Inc. | Detroit Lakes, MN | $111.75 - $120.60 | |||||
| Lincare, Inc. | Fargo, ND | $111.75 - $120.60 | |||||
| Lincare, Inc. | Dell Rapids, SD | $111.75 - $120.60 | |||||
| Lincare, Inc. | Savage, MN | $111.75 - $120.60 | |||||
| Lincare, Inc. | Cambridge, MN | $111.75 - $120.60 | |||||
| Lincare, Inc. | Spearfish, SD | $111.75 - $120.60 | |||||
| NEB Doctors of Minnesota | Eagan, MN | $111.75 - $120.60 | |||||
![]() |
Park Nicollet Health Care Products (20) | $111.75 - $120.60 | |||||
| Health & Care Store @ Park Nicollet | Shakopee, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Health & Care Store | Saint Louis Park, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Health & Care Store | Saint Louis Park, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Health & Care Store | Saint Louis Park, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Health & Care Store | Burnsville, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Orthotics & Prosthetics | Saint Louis Park, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Pharmacy | Eagan, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Pharmacy | Saint Louis Park, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Pharmacy | Chanhassen, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Pharmacy | Wayzata, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Pharmacy | Saint Louis Park, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Pharmacy | Minneapolis, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Pharmacy | Minnetonka, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Pharmacy | Brooklyn Center, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Pharmacy | Burnsville, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Pharmacy | Saint Louis Park, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Pharmacy | Bloomington, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Pharmacy | Maple Grove, MN | $111.75 - $120.60 | |||||
| Park Nicollet Health Care Products - Pharmacy | Bloomington, MN | $111.75 - $120.60 | |||||
| Park Nicollet Jane Brattain Boutique | Saint Louis Park, MN | $111.75 - $120.60 | |||||
![]() |
Reliable Medical Supply Inc (3) | $111.75 - $120.60 | |||||
| Reliable Medical Supply, Inc | Brooklyn Park, MN | $111.75 - $120.60 | |||||
| Reliable Medical Supply, Inc | Waite Park, MN | $111.75 - $120.60 | |||||
| Reliable Medical Supply, Inc | Buffalo, MN | $111.75 - $120.60 | |||||
![]() |
Sports and Orthopaedic Specialists (4) | $171.05 - $184.06 | |||||
| Sports and Orthopaedic Specialists P.A. | Saint Cloud, MN | $171.05 - $184.06 | |||||
| Sports and Orthopaedic Specialists P.A. | Blaine, MN | $171.05 - $184.06 | |||||
| Sports and Orthopaedic Specialists P.A. | Edina, MN | $171.05 - $184.06 | |||||
| Sports and Orthopaedic Specialists P.A. | Minneapolis, MN | $171.05 - $184.06 |
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.