Body jacket mold to patient cost in Wisconsin

Body jacket mold to patient ยท HCPCS L1300

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $1,035.97 โ€“ $2,093.04 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,588.55 โ€“ $2,118.07 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1,588.55 โ€“ $4,087.88 4