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 |
|---|
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Apria Healthcare Inc - Home Oxygen & Medical Equipment (22) | $5.55 - $5.95 | |||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Saint Paul, MN | $5.55 - $5.95 | |||
| Apria Pharmacy Network | Folcroft, PA | $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 | Spearfish, SD | $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 | Wisconsin Rapids, WI | $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 | Rothschild, 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 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 | Rochester, MN | $5.55 - $5.95 | |||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | Saint Cloud, MN | $5.55 - $5.95 | |||
| Apria Pharmacy Network | Oxnard, CA | $5.55 - $5.95 | |||
| Apria Healthcare Inc - Home Oxygen & Medical Equipment | New Berlin, WI | $5.55 - $5.95 | |||
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Byram Healthcare Centers Inc (8) | $5.55 - $5.95 | |||
| Byram Healthcare Centers Inc | Downers Grove, IL | $5.55 - $5.95 | |||
| Byram Healthcare Centers Inc | Worcester, MA | $5.55 - $5.95 | |||
| Byram Healthcare Centers Inc | Marietta, GA | $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 | Somerset, NJ | $5.55 - $5.95 | |||
| Byram Healthcare Centers Inc | Denver, CO | $5.55 - $5.95 | |||
| Dahl Home Medical Supply | Minneapolis, MN | $5.55 - $5.95 | |||
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Edgepark Medical Supplies (5) | $5.55 - $5.95 | |||
| Edgepark Medical Supplies | Clifton Park, NY | $5.55 - $5.95 | |||
| Edgepark Medical Supplies | Twinsburg, OH | $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 | |||
| Essentia Health Medical Equipment & Supplies | Duluth, MN | $5.55 - $5.95 | |||
| Family Rexall Drug Inc | Hutchinson, MN | $5.55 - $5.95 | |||
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Great Plains Health Company (6) | $5.55 - $5.95 | |||
| Great Plains Rehabilitation Services | Bismarck, 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 Health Company | Fargo, ND | $5.55 - $5.95 | |||
| Great Plains Rehabilitation Services | Minot, 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 | |||
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Home Medical Products & Services (11) | $4.48 - $5.25 | |||
| Home Medical Products & Services | Hayward, WI | $4.48 - $5.25 | |||
| Home Medical Products & Services | Superior, WI | $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 | |||
| Jons Drug Inc | Eveleth, MN | $5.55 - $5.95 | |||
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Mayo Clinic Store (3) | $5.55 - $5.95 | |||
| Mayo Clinic Store-Sleep Apnea Supplies | Rochester, MN | $5.55 - $5.95 | |||
| Mayo Clinic Store - Siebens | Rochester, MN | $5.55 - $5.95 | |||
| Mayo Clinic Store | Rochester, MN | $5.55 - $5.95 | |||
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MeritCare HealthCare Accessories LLC (14) | $5.55 - $5.95 | |||
| MeritCare Healthcare Accessories LLC | Bismarck, ND | $5.55 - $5.95 | |||
| MeritCare Healthcare Accessories LLC | Fargo, ND | $5.55 - $5.95 | |||
| MeritCare Healthcare Accessories LLC | Jamestown, ND | $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 | Minot, ND | $5.55 - $5.95 | |||
| MeritCare Healthcare Accessories LLC | Fargo, ND | $5.55 - $5.95 | |||
| MeritCare Healthcare Accessories LLC | Bemidji, 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 | |||
| MeritCare Healthcare Accessories LLC | Bismarck, ND | $5.55 - $5.95 | |||
| MeritCare Healthcare Accessories LLC | Thief River Falls, MN | $5.55 - $5.95 | |||
| MeritCare Healthcare Accessories LLC | East Grand Forks, MN | $5.55 - $5.95 | |||
| MeritCare Healthcare Accessories LLC | Minot, ND | $5.55 - $5.95 | |||
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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 | |||
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Park Nicollet Health Care Products (20) | $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 - Pharmacy | Bloomington, MN | $5.55 - $5.95 | |||
| Park Nicollet Health Care Products - Pharmacy | Minneapolis, MN | $5.55 - $5.95 | |||
| Park Nicollet Health Care Products - Pharmacy | Maple Grove, MN | $5.55 - $5.95 | |||
| Park Nicollet Health Care Products - Health & Care Store | Burnsville, MN | $5.55 - $5.95 | |||
| Park Nicollet Health Care Products - Pharmacy | Eagan, MN | $5.55 - $5.95 | |||
| Park Nicollet Health Care Products - Pharmacy | Brooklyn Center, MN | $5.55 - $5.95 | |||
| Park Nicollet Health Care Products - Pharmacy | Saint Louis Park, MN | $5.55 - $5.95 | |||
| Health & Care Store @ Park Nicollet | Shakopee, 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 | Bloomington, MN | $5.55 - $5.95 | |||
| Park Nicollet Health Care Products - Pharmacy | 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 - Pharmacy | Minnetonka, MN | $5.55 - $5.95 | |||
| Park Nicollet Jane Brattain Boutique | 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 - Pharmacy | Burnsville, MN | $5.55 - $5.95 | |||
| Park Nicollet Health Care Products - Pharmacy | Wayzata, MN | $5.55 - $5.95 | |||
| Park Nicollet Health Care Products - Orthotics & Prosthetics | 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 | |||
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Rice Home Medical (5) | $5.55 - $5.95 | |||
| Rice Home Medical LLC | Willmar, MN | $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 | |||
| Sanford Healthcare Accessories LLC | Fargo, ND | $5.55 - $5.95 | |||
| Sanford Healthcare Accessories LLC | Fargo, ND | $5.55 - $5.95 | |||
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Sanford Home Medical Equipment (36) | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment - E Sioux | Sioux Falls, SD | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment-Burke | Burke, SD | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment | Windom, MN | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment-Vermillion | Vermillion, SD | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment | 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, SD | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment-Sheldon | Sheldon, IA | $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 - Cherokee | Cherokee, IA | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment | Burke, SD | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment-North Center | Sioux Falls, SD | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment | Luverne, MN | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment-Spirit Lake | Spirit Lake, IA | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment | Worthington, MN | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment-Brookings | Brookings, SD | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment | Vermillion, SD | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment-MBII | Sioux Falls, 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-Huron | Huron, SD | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment | Sheldon, IA | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment-Luverne | Luverne, MN | $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-Chamberlain | Chamberlain, SD | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment | Orange City, IA | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment-Worthington | Worthington, MN | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment | Cherokee, IA | $5.55 - $5.95 | |||
| Sanford Home Care Canby | Canby, MN | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment-Canton | Canton, SD | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment | Canton, SD | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment-Windom | Windom, MN | $5.55 - $5.95 | |||
| Sanford Home Medical Equipment | Canby, MN | $5.55 - $5.95 | |||
| Sterling Medical Services LLC | Moorestown, NJ | $5.55 - $5.95 | |||
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Thrifty White Drug (54) | $5.55 - $5.95 | |||
| Thrifty White Pharmacy | Forest Lake, 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 Pharmacy | Tyler, MN | $5.55 - $5.95 | |||
| Thrifty White Drug | Hibbing, MN | $5.55 - $5.95 | |||
| Thrifty White Pharmacy | Ashby, MN | $5.55 - $5.95 | |||
| Thrifty White Pharmacy | Duluth, 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 Drug | Thief River Falls, MN | $5.55 - $5.95 | |||
| Thrifty White Drug | Fergus Falls, MN | $5.55 - $5.95 | |||
| Thrifty White Pharmacy | Slayton, MN | $5.55 - $5.95 | |||
| Thrifty White Drug | Karlstad, 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 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 Pharmacy | Sandstone, MN | $5.55 - $5.95 | |||
| Thrifty White Drug | Madison, MN | $5.55 - $5.95 | |||
| Thrifty White Pharmacy | Princeton, MN | $5.55 - $5.95 | |||
| Thrifty White Pharmacy | Bemidji, 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 Pharmacy | Moose Lake, MN | $5.55 - $5.95 | |||
| Thrifty White Drug | Marshall, MN | $5.55 - $5.95 | |||
| Thrifty White Pharmacy | Renville, MN | $5.55 - $5.95 | |||
| City Center Drug | Morris, 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 Pharmacy | Montevideo, MN | $5.55 - $5.95 | |||
| Thrifty White Drug | Moorhead, MN | $5.55 - $5.95 | |||
| Whalen Woods | Walker, MN | $5.55 - $5.95 | |||
| Thrifty White Drug | Brainerd, 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 Pharmacy | Westbrook, MN | $5.55 - $5.95 | |||
| Thrifty White Drug | Hastings, MN | $5.55 - $5.95 | |||
| Eagle Drug | Crookston, 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 | Wadena, MN | $5.55 - $5.95 | |||
| Thrifty White Drug | Hibbing, MN | $5.55 - $5.95 | |||
| Thelen Thrifty White Drug | Mahnomen, MN | $5.55 - $5.95 | |||
| Tonka Medical Supplies Inc | Saint Louis Park, MN | $5.55 - $5.95 | |||