Replace afo soft interface cost in Oklahoma

Replace AFO soft interface ยท HCPCS L4392

Hospital City Cash price Negotiated range Payers
SSM Health St. Anthony Hospital - Shawnee Shawnee not published $29.10 โ€“ $56.74 8
SSM Health St. Anthony Hospital - Midwest Midwest City not published $29.10 โ€“ $62.27 8
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City not published $29.10 โ€“ $62.27 10