Replace non-molded calf lace cost in Louisiana

Replace non-molded calf lace · HCPCS L4055

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $300.66 – $536.90 15
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $153.40 – $337.48 14
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $153.40 – $337.48 14
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $153.40 – $337.48 14
CHRISTUS Louisiana Surgical Hospital Alexandria not published $153.40 – $720.98 5
CHRISTUS Coushatta Health Care Center Coushatta not published $153.40 – $153.40 1