Details: Liquid, 1 Month Supply/1 Unit. E0442 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    
  Midwest Medical Services Mounds View, MN $1.50 - $1.60
  Northwest Respiratory Services Saint Paul, MN $1.50 - $1.60
  Sanford Health Accessories LLC Fargo, ND $0.85 - $1.00