Extension per extension per cost in Wisconsin

Extension per extension per ยท HCPCS L2760

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $34.15 โ€“ $70.70 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $52.36 โ€“ $69.82 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $52.36 โ€“ $134.75 4