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?
|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|