Ak pelvic control belt pad/l cost in Wisconsin

Ak pelvic control belt pad/l ยท HCPCS L5694

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $108.63 โ€“ $224.91 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $166.58 โ€“ $222.10 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $166.58 โ€“ $428.65 4