Fem focal defic constant fri cost in Wisconsin

Fem focal defic constant fri ยท HCPCS L5230

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $2,871.92 โ€“ $5,756.63 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $4,403.82 โ€“ $5,871.76 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $4,403.82 โ€“ $11,332.50 4