Brush provox 4-10mm cost in Wisconsin

BRUSH PROVOX 4-10MM · HCPCS L8513

Hospital City Cash price Negotiated range Payers
SSM Health St. Clare Hospital - Baraboo Baraboo not published $4.81 – $6.41 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $4.81 – $12.37 4