Limited visual field xm cost in Oklahoma

LIMITED VISUAL FIELD XM · CPT 92081

Hospital City Cash price Negotiated range Payers
Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) Jenks not published $17.97 – $22.35 2
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa not published $17.97 – $62.58 7
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata not published $17.97 – $62.58 7
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville not published $17.97 – $136.15 29
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso not published $17.97 – $127.13 29
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa not published $17.97 – $226.00 30