Femoral lgth sock fx or equa cost in Wisconsin

Femoral lgth sock fx or equa ยท HCPCS L2850

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $36.36 โ€“ $96.08 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $55.76 โ€“ $74.34 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $55.76 โ€“ $143.48 4