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Ostomy Pouch

Details: Extended Wear Barrier With Built-in Convexity. A4390 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    
Expand group Apria Healthcare Inc - Home Oxygen & Medical Equipment (22) $9.60 - $10.09  
  Brainerd Medical Supply Inc Brainerd, MN $9.60 - $10.09
Expand group Byram Healthcare Centers Inc (8) $9.60 - $10.09  
Expand group Edgepark Medical Supplies (5) $9.60 - $10.09  
Expand group Great Plains Health Company (6) $9.40 - $11.48  
  Handi Medical Supply Saint Paul, MN $9.60 - $10.09
  Handi Medical Supply Saint Paul, MN $9.60 - $10.09
Expand group Park Nicollet Health Care Products (20) $9.60 - $10.09