Tee w or without fol w/cont,cong cost in Oklahoma

Tee w or w/o fol w/cont,cong ยท HCPCS C8926

Hospital City Cash price Negotiated range Payers
SSM Health St. Anthony Hospital - Shawnee Shawnee not published $753.95 โ€“ $1,501.11 7
SSM Health St. Anthony Hospital - Midwest Midwest City not published $753.95 โ€“ $1,613.46 7
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City not published $753.95 โ€“ $1,613.46 9