Breast prosthesis bra & form cost in Oklahoma

Breast prosthesis bra & form ยท HCPCS L8001

Hospital City Cash price Negotiated range Payers
SSM Health St. Anthony Hospital - Shawnee Shawnee not published $155.27 โ€“ $302.78 8
SSM Health St. Anthony Hospital - Midwest Midwest City not published $155.27 โ€“ $332.28 8
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City not published $155.27 โ€“ $332.28 10