Replace non-molded calf lace cost in Oklahoma

Replace non-molded calf lace ยท HCPCS L4055

Hospital City Cash price Negotiated range Payers
SSM Health St. Anthony Hospital - Shawnee Shawnee not published $312.94 โ€“ $610.23 8
SSM Health St. Anthony Hospital - Midwest Midwest City not published $312.94 โ€“ $669.69 8
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City not published $312.94 โ€“ $669.69 10