Add ue prost s/d acrylic cost in Oklahoma

Add UE prost s/d acrylic ยท HCPCS L7405

Hospital City Cash price Negotiated range Payers
SSM Health St. Anthony Hospital - Shawnee Shawnee not published $899.88 โ€“ $1,754.77 8
SSM Health St. Anthony Hospital - Midwest Midwest City not published $899.88 โ€“ $1,925.74 8
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City not published $899.88 โ€“ $1,925.74 10