Afo, walk boot type, cus fab cost in Wisconsin

Afo, walk boot type, cus fab ยท HCPCS L4631

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $886.10 โ€“ $1,782.34 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,358.75 โ€“ $1,811.67 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1,358.75 โ€“ $3,496.52 4