Ostomy Pouch ;Barrier with Flange

A5063 is the Healthcare Common Procedure Code System (HCPCS) code used to bill for this item. Estimates below are based on Medica Choice network contract rates.

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                         
  Sterling Drug #3 Albert Lea, MN $2.75 - $3.04  
  Sanford HealthCare Accessories Fargo, ND $2.75 - $3.04  
  Rice Home Medical LLC Alexandria, MN $2.75 - $3.04  
  Pine City Medical Supply Pine City, MN $2.75 - $3.04  
Expand group Park Nicollet Health Care Products and Pharmacies (2) $2.75 - $3.04
  North Central Medical Supply Inc Brainerd, MN $2.75 - $3.04  
  Midwest Medical Services Inc Saint Paul, MN $2.75 - $3.04  
  Midwest Medical Equip and Supply Duluth, MN $2.75 - $3.04  
Expand group Mayo Clinic Store (2) $2.75 - $3.04
Expand group Home Medical Products & Services (2) $2.75 - $3.04
  Handi Medical Supply Saint Paul, MN $2.75 - $3.04  
  Edgepark Medical Supplies Twinsburg, OH $2.75 - $3.04  
  Care Medical Supply Inc Sauk Rapids, MN $2.75 - $3.04  
  Byram Healthcare Centers Inc Downers Grove, IL $2.75 - $3.04  

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