Cltx palatal/max fx wire fix cost in Oklahoma

CLTX PALATAL/MAX FX WIRE FIX · CPT 21421

Hospital City Cash price Negotiated range Payers
Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) Jenks not published $648.90 – $752.54 2
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa not published $648.90 – $1,232.61 7
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata not published $648.90 – $1,413.39 7
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville not published $648.90 – $1,413.39 7
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso not published $648.90 – $1,429.83 7
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa not published $648.90 – $1,232.61 7