Breast prosthesis bra & form cost in Louisiana

Breast prosthesis bra & form · HCPCS L8001

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $149.19 – $266.40 15
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $76.12 – $167.45 14
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $76.12 – $167.45 14
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $76.12 – $167.45 14
CHRISTUS Louisiana Surgical Hospital Alexandria not published $76.12 – $357.74 5
CHRISTUS Coushatta Health Care Center Coushatta not published $76.12 – $76.12 1