Silicon gel insert w/wo lock cost in Oklahoma

Silicon gel insert w/wo lock ยท HCPCS L6692

Hospital City Cash price Negotiated range Payers
SSM Health St. Anthony Hospital - Shawnee Shawnee not published $871.10 โ€“ $1,698.64 8
SSM Health St. Anthony Hospital - Midwest Midwest City not published $871.10 โ€“ $1,864.15 8
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City not published $871.10 โ€“ $1,864.15 10