A4217 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?
|Lower Cost||Medium Cost||Higher Cost|
|Facility||City/State||Average Cost Range|
|Allina Home Oxygen & Medical Equipment||Saint Paul, MN||$6.10 - $21.90|
|Apria Healthcare Inc - Home Oxygen & Medical Equipment||Saint Paul, MN||$6.10 - $21.90|
|Byram Healthcare Centers Inc||Downers Grove, IL||$6.10 - $21.90|
|Corner Medical, LLC||Red Wing, MN||$3.00 - $3.30|
|Essentia Health Medical Equipment & Supplies||Duluth, MN||$3.00 - $3.30|
|Handi Medical Supply||Saint Paul, MN||$3.00 - $3.30|
|Immanuel St Josephs - Durable Medical Equipment||Mankato, MN||$3.00 - $3.30|
|Mayo Clinic Store - Siebens||Rochester, MN||$3.00 - $3.30|
|Pediatric Home Services - Home Medical Equipment||Roseville, MN||$4.00 - $4.45|
|Reliable Medical Supply, Inc||Brooklyn Park, MN||$3.00 - $3.30|
|Sanford Health Accessories LLC||Fargo, ND||$3.00 - $3.30|
|Sterling Medical Services LLC||Moorestown, NJ||$6.10 - $21.90|