Replace afo soft interface cost in Virginia

Replace AFO soft interface · HCPCS L4392

Hospital City Cash price Negotiated range Payers
HENRICO DOCTORS HOSPITAL RICHMOND not published $23.99 – $30.20 19
TRICITIES HOSPITAL HOPEWELL not published $23.99 – $38.10 19
STONESPRINGS HOSPITAL CENTER Dulles not published $21.16 – $30.20 12
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $27.37 – $30.20 14
RESTON HOSPITAL CENTER VIENNA not published $27.37 – $30.20 14
LEWISGALE MEDICAL CENTER ROANOKE not published $23.99 – $30.20 18
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $23.99 – $30.20 16
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $23.99 – $38.10 17