Bk removable medial brim sus cost in Wisconsin

Bk removable medial brim sus ยท HCPCS L5672

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $215.01 โ€“ $430.98 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $329.70 โ€“ $439.60 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $329.70 โ€“ $848.43 4