Ak/knee disartic acrylic soc cost in Wisconsin

Ak/knee disartic acrylic soc ยท HCPCS L5631

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $263.09 โ€“ $544.74 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $403.43 โ€“ $537.91 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $403.43 โ€“ $1,038.17 4