Ak/knee disartic pelvic band cost in Wisconsin

Ak/knee disartic pelvic band ยท HCPCS L5697

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $56.02 โ€“ $112.28 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $85.90 โ€“ $114.53 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $85.90 โ€“ $221.04 4