Add up-ex prosthes lock mech cost in Wisconsin

Add up-ex prosthes lock mech ยท HCPCS L6698

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $297.85 โ€“ $822.26 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $456.72 โ€“ $608.96 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $456.72 โ€“ $1,175.29 4