Brace back epic lo 627 cost in Pennsylvania

BRACE BACK EPIC LO 627 · HCPCS L0642

Hospital City Cash price Negotiated range Payers
AHN WEXFORD HOSPITAL WEXFORD not published $132.15 – $499.24 13
GROVE CITY HOSPITAL GROVE CITY not published $218.77 – $499.24 13