Replace afo soft interface cost in Illinois

Replace AFO soft interface · HCPCS L4392

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Trinity Moline Rock Island not published $13.57 – $45.34 14
Advocate Good Samaritan Hospital Downers Grove not published $41.09 – $98.72 7
Advocate Condell Medical Center Libertyville not published $41.09 – $60.82 7
Advocate Christ Medical Center Oak Lawn not published $41.09 – $96.44 7
MercyOne Genesis Aledo Medical Center Aledo not published $32.16 – $32.16 1
Advocate Trinity Hospital Chicago not published $41.09 – $98.72 7
Advocate South Suburban Hospital Hazel Crest not published $41.09 – $99.08 7
Advocate Sherman Hospital Elgin not published $40.84 – $54.41 7
Advocate Childrens Hospital - Park Ridge Park Ridge not published $41.09 – $97.79 7
Advocate Illinois Masonic Medical Center Chicago not published $41.09 – $99.36 7