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 $9.00 - $10.10
Expand group Corner Medical LLC (2) $9.00 - $10.10  
  Edgepark Medical Supplies Twinsburg, OH $9.00 - $10.10
  Handi Medical Supply Saint Paul, MN $9.00 - $10.10
  Sanford HealthCare Accessories LLC Fargo, ND $9.00 - $10.10