Auditor evoke potent limit cost in Wisconsin

AUDITOR EVOKE POTENT LIMIT · CPT 92586

Hospital City Cash price Negotiated range Payers
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh not published $181.08 – $256.25 3
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $155.26 – $155.26 1
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $155.26 – $155.26 1
Ascension Calumet Hospital, Inc. Chilton not published $181.08 – $256.25 3
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton not published $181.08 – $256.25 3