Breast prosthesis bra & form cost in Virginia

Breast prosthesis bra & form · HCPCS L8001

Hospital City Cash price Negotiated range Payers
HENRICO DOCTORS HOSPITAL RICHMOND not published $128.15 – $161.32 19
TRICITIES HOSPITAL HOPEWELL not published $128.15 – $203.54 19
STONESPRINGS HOSPITAL CENTER Dulles not published $113.08 – $161.32 12
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $146.25 – $161.32 14
RESTON HOSPITAL CENTER VIENNA not published $146.25 – $161.32 14
LEWISGALE MEDICAL CENTER ROANOKE not published $128.15 – $161.32 18
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $128.15 – $161.32 16
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $128.15 – $203.54 17