Afo molded plas rig ant tib cost in Wisconsin

Afo molded plas rig ant tib ยท HCPCS L1945

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $674.71 โ€“ $1,352.44 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,034.62 โ€“ $1,379.49 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1,034.62 โ€“ $2,662.42 4