Replace pretibial shell cost in Oklahoma

Replace pretibial shell ยท HCPCS L4130

Hospital City Cash price Negotiated range Payers
SSM Health St. Anthony Hospital - Shawnee Shawnee not published $664.47 โ€“ $1,295.72 8
SSM Health St. Anthony Hospital - Midwest Midwest City not published $664.47 โ€“ $1,421.97 8
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City not published $664.47 โ€“ $1,421.97 10