Add le poly knee custom kafo cost in Virginia

Add LE poly knee custom KAFO · HCPCS L2387

Hospital City Cash price Negotiated range Payers
HENRICO DOCTORS HOSPITAL RICHMOND not published $188.50 – $237.28 19
TRICITIES HOSPITAL HOPEWELL not published $188.50 – $299.38 19
STONESPRINGS HOSPITAL CENTER Dulles not published $166.32 – $237.28 12
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $215.11 – $237.28 14
RESTON HOSPITAL CENTER VIENNA not published $215.11 – $237.28 14
LEWISGALE MEDICAL CENTER ROANOKE not published $188.50 – $237.28 18
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $188.50 – $237.28 16
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $188.50 – $299.38 17