Afo tib fx semi-rigid l2114 cost in Wisconsin

afo tib fx semi-rigid L2114 · HCPCS L2114

Hospital City Cash price Negotiated range Payers
SSM Health St. Clare Hospital - Baraboo Baraboo not published $582.44 – $776.59 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $582.44 – $1,498.82 4