Below knee acrylic socket cost in Wisconsin

Below knee acrylic socket ยท HCPCS L5629

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $190.30 โ€“ $394.01 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $291.80 โ€“ $389.06 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $291.80 โ€“ $750.89 4