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                         
  Edgepark Medical Supplies Twinsburg, OH $9.79 - $10.74  
  Handi Medical Supply Saint Paul, MN $9.79 - $10.74  
  Sanford HealthCare Accessories Fargo, ND $9.79 - $10.74  

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