Custom glove for term device cost in Wisconsin

Custom glove for term device ยท HCPCS L6895

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $402.20 โ€“ $806.21 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $616.75 โ€“ $822.33 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $616.75 โ€“ $1,587.10 4