Afo molded ankle gauntlet cost in Illinois

Afo molded ankle gauntlet · HCPCS L1904

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Trinity Moline Rock Island not published $265.69 – $870.14 14
Advocate Good Samaritan Hospital Downers Grove not published $788.57 – $1,922.67 7
Advocate Condell Medical Center Libertyville not published $788.57 – $1,184.41 7
Advocate Christ Medical Center Oak Lawn not published $788.57 – $1,878.21 7
MercyOne Genesis Aledo Medical Center Aledo not published $628.45 – $628.45 1
Advocate Trinity Hospital Chicago not published $788.57 – $1,922.67 7
Advocate South Suburban Hospital Hazel Crest not published $788.57 – $1,929.61 7
Advocate Sherman Hospital Elgin not published $788.57 – $1,044.17 7
Advocate Childrens Hospital - Park Ridge Park Ridge not published $788.57 – $1,904.61 7
Advocate Illinois Masonic Medical Center Chicago not published $788.57 – $1,935.17 7