A4217 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 | ![]() |
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Allina Home Oxygen & Medical Equipment | Saint Paul, MN | $3.19 - $3.78 | |||||
Corner Medical LLC | Red Wing, MN | $3.19 - $3.78 | |||||
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Handi Medical Supply (2) | $3.19 - $3.78 | |||||
Handi Medical Supply | Saint Paul, MN | $3.19 - $3.78 | |||||
Handi Medical Supply | Coon Rapids, MN | $3.19 - $3.78 | |||||
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Park Nicollet Health Care Products and Pharmacies (2) | $3.19 - $3.78 | |||||
Park Nicollet Health Care Products | Saint Louis Park, MN | $3.19 - $3.78 | |||||
Park Nicollet Health Care Products | Saint Louis Park, MN | $3.19 - $3.78 | |||||
Pediatric Home Services | Roseville, MN | $4.36 - $4.63 | |||||
Reliable Medical Supply Inc | Brooklyn Park, MN | $3.19 - $3.78 | |||||
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Sanford Home Medical Equipment (2) | $3.19 - $3.78 | |||||
Sanford Home Medical Equipment-Brookings - University Mall | Brookings, SD | $3.19 - $3.78 | |||||
Sanford HealthCare Accessories | Fargo, ND | $3.19 - $3.78 |