Cus elbo skt in not con/atyp cost in Wisconsin

Cus elbo skt in not con/atyp ยท HCPCS L6697

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $792.23 โ€“ $1,632.23 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,214.80 โ€“ $1,619.74 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1,214.80 โ€“ $3,126.10 4