Breast prosthesis bra & form cost in Wisconsin
Breast prosthesis bra & form · HCPCS L8001
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | not published | $75.56 – $155.63 | 8 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $115.87 – $154.49 | 2 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $115.87 – $298.17 | 4 |