Brace back epic lso 637 cost in Wisconsin
BRACE BACK EPIC LSO 637 · HCPCS L0650
$1,739.07
lowest in Wisconsin
$1,739.07
state median
$1,739.07
highest in Wisconsin
$1,787.52
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $1,739.07 | $1,297.87 – $1,297.87 | 2 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $1,739.07 | $1,297.87 – $1,297.87 | 2 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $587.48 – $783.31 | 2 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $587.48 – $1,511.79 | 4 |