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  
  Midwest Medical Equip and Supply Duluth, MN $2.51 - $3.33
  Midwest Medical Equip and Supply Duluth, MN $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