Brava Ostomy Support Belt
ColoplastAccessoriesBelts & support
- Brand
- Coloplast
- Category
- Accessories › Belts & support
- System
- Not found in our sources
- Pouch type
- Not found in our sources
- Barrier type
- Not found in our sources
- Opening
- Not found in our sources
- Filter
- Not found in our sources
- Box quantity
- 1
- Flange sizes
- Not found in our sources
- HCPCS code(s)
- A4396 (Coloplast product page (variant name))
- Lowest cash price seen
- From $58.37 / Each
Vitality Medical, Nov 4, 2026 - Source
- products.coloplast.us · checked Nov 4, 2026
Add to Supply Planner Compare with similar
Sizes, codes and prices
Prices are cash prices one retailer listed on the date shown, per the retailer's unit. Retailer links are marked as sponsored for search engines and may become affiliate links later. We do not take referral fees from suppliers that bill Medicare. The retailer page says the manufacturer labels this item Rx only.
| Code | Description / size | Box | HCPCS | Price seen |
|---|---|---|---|---|
12003 | S - 29-32in *INFO ONLY -we do not sample this | 1 per box | A4396 | $58.37 / Each Vitality Medical · Nov 4, 2026 |
12004 | M - 31-35in *INFO ONLY -we do not sample this | 1 per box | A4396 | $61.02 / Each Vitality Medical · Nov 4, 2026 |
12005 | L - 34-39in *INFO ONLY -we do not sample this | 1 per box | A4396 | $59.29 / Each Vitality Medical · Nov 4, 2026 |
12006 | XL - 37-42in *INFO ONLY -we do not sample this | 1 per box | A4396 | $60.45 / Each Vitality Medical · Nov 4, 2026 |
12007 | XXL - 40-46in *INFO ONLY -we do not sample this | 1 per box | A4396 | $61.25 / Each Vitality Medical · Nov 4, 2026 |
12008 | XXXL - 44-51in *INFO ONLY -we do not sample this | 1 per box | A4396 | $61.10 / Each Vitality Medical · Nov 4, 2026 |
12009 | 4XL-50-58" *INFO ONLY -we do not sample this | 1 per box | A4396 | $58.37 / Each Vitality Medical · Nov 4, 2026 |
Medicare usual maximums for these codes
- A4396: Ostomy belt with peristomal hernia support. No usual maximum is listed for this code in the LCD table.
From our Medicare guide (LCD L33828). Informational only; coverage depends on your plan and documentation. Confirm with your supplier or plan.
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