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 | ![]() |
---|
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 |