Replace non-molded calf lace cost in Iowa

Replace non-molded calf lace · HCPCS L4055

Hospital City Cash price Negotiated range Payers
UnityPoint Health - St. Luke's Hospital Cedar Rapids not published $160.65 – $408.81 9
UnityPoint Health - Trinity Regional Medical Center Fort Dodge not published $160.65 – $421.64 7
UnityPoint Health - Trinity Muscatine Muscatine not published $160.65 – $642.50 12
UnityPoint Health - Trinity Bettendorf Bettendorf not published $160.65 – $515.23 10
UnityPoint Health - St. Lukes Downtown Sioux City not published $160.65 – $408.81 10
UnityPoint Health - Marshalltown Marshalltown not published $160.65 – $421.64 9
UnityPoint Health - Jones Regional Medical Center Anamosa not published $160.65 – $408.81 6
UnityPoint Health - Iowa Lutheran Hospital Des Moines not published $160.65 – $408.81 9
UnityPoint Health - Grinnell Regional Medical Center Grinnell not published $160.65 – $421.64 9
UnityPoint Health - Finley Hospital Dubuque not published $160.65 – $408.81 11
UnityPoint Health - Allen Hospital Waterloo not published $160.65 – $408.81 9