Brace afo dbl upright cust cost in Wisconsin

BRACE AFO DBL UPRIGHT CUST ยท HCPCS L1990

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $280.90 โ€“ $598.76 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $430.72 โ€“ $574.30 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $430.72 โ€“ $1,108.40 4