Brst prsth bra & bilat form cost in Wisconsin

Brst prsth bra & bilat form ยท HCPCS L8002

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $99.37 โ€“ $204.77 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $152.36 โ€“ $203.15 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $152.36 โ€“ $392.08 4