Brace cust back lso cost in Wisconsin

BRACE CUST BACK LSO · HCPCS L0631

Hospital City Cash price Negotiated range Payers
SSM Health St. Clare Hospital - Baraboo Baraboo not published $946.20 – $1,261.60 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $946.20 – $2,434.89 4