Below knee sus/seal sleeve cost in Wisconsin

Below knee sus/seal sleeve ยท HCPCS L5685

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $77.15 โ€“ $158.96 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $118.30 โ€“ $157.74 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $118.30 โ€“ $304.44 4