Afo spiral molded to pt plas cost in Wisconsin

Afo spiral molded to pt plas ยท HCPCS L1950

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $462.28 โ€“ $926.61 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $708.86 โ€“ $945.14 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $708.86 โ€“ $1,824.12 4