Bk molded distal cushion cost in Wisconsin

Bk molded distal cushion ยท HCPCS L5668

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $68.78 โ€“ $137.86 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $105.46 โ€“ $140.62 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $105.46 โ€“ $271.40 4