Brace back vista 464 tlso cost in Wisconsin

BRACE BACK VISTA 464 TLSO · HCPCS L0648

Hospital City Cash price Negotiated range Payers
SSM Health St. Clare Hospital - Baraboo Baraboo not published $507.74 – $676.99 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $507.74 – $1,306.59 4