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    
  Byram Healthcare Centers Inc Downers Grove, IL $9.20 - $10.50
  Edgepark Medical Supplies Twinsburg, OH $9.20 - $10.50
  Family Rexall Drug Inc Hutchinson, MN $9.20 - $10.50
  Handi Medical Supply Saint Paul, MN $9.20 - $10.50
  Mayo Clinic Store - Siebens Rochester, MN $11.00 - $12.50
  Merwin Home Medical New Hope, MN $9.20 - $10.50
  North Central Medical Supply Inc Brainerd, MN $9.20 - $10.50
  Park Nicollet Health Care Products - Health & Care Store Saint Louis Park, MN $9.20 - $10.50
  Reliable Medical Supply, Inc Brooklyn Park, MN $9.20 - $10.50
  Sanford Health Accessories LLC Fargo, ND $9.20 - $10.50
  Thrifty White Drug Marshall, MN $9.20 - $10.50