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