Replace non-molded calf lace cost in California

Replace non-molded calf lace · HCPCS L4055

Hospital City Cash price Negotiated range Payers
Providence Saint John's Health Center Santa Monica not published $409.60 – $757.76 7
Providence St Joseph Hospital Orange Orange not published $348.16 – $757.76 3
Providence Saint Joseph Medical Center Burbank not published $409.60 – $757.76 6
Providence Little Company of Mary Med Center Torrance Torrance not published $409.60 – $757.76 6
Providence Little Co of Mary Med Center San Pedro San Pedro not published $409.60 – $757.76 6
Providence Holy Cross Medical Center Mission Hills not published $409.60 – $757.76 6
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $409.60 – $757.76 6