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 $2.60 - $2.85
  Apria Healthcare Inc - Home Oxygen & Medical Equipment Saint Paul, MN $2.60 - $2.85
  Austin Medical Center - Hospital Durable Medical Equipment Austin, MN $2.90 - $3.20
  Byram Healthcare Centers Inc Downers Grove, IL $2.60 - $2.85
  Care Medical Supply, Inc Sauk Rapids, MN $2.60 - $2.85
  Edgepark Medical Supplies Twinsburg, OH $2.60 - $2.85
  Essentia Health Medical Equipment & Supplies Duluth, MN $2.60 - $2.85
  Family Rexall Drug Inc Hutchinson, MN $2.60 - $2.85
  Handi Medical Supply Saint Paul, MN $2.60 - $2.85
  Healthline Medical Supply Hibbing, MN $2.60 - $2.85
  Home Medical Products & Services Rice Lake, WI $2.60 - $2.85
  Key Medical Supply Inc Shoreview, MN $2.60 - $2.85
  Lake Superior Medical Equipment, Inc. Duluth, MN $2.60 - $2.85
  Mayo Clinic Store - Siebens Rochester, MN $2.60 - $2.85
  Merwin Home Medical New Hope, MN $2.60 - $2.85
  Midwest Medical Services Mounds View, MN $2.60 - $2.85
  Moore Medical Service Fairmont, MN $2.60 - $2.85
  North Central Medical Supply Inc Brainerd, MN $2.60 - $2.85
  Park Nicollet Health Care Products - Pharmacy Maple Grove, MN $2.60 - $2.85
  Reliable Medical Supply, Inc Brooklyn Park, MN $2.60 - $2.85
  Sanford Health Accessories LLC Fargo, ND $2.60 - $2.85