Flex/ext wrist w/wo friction cost in Wisconsin

Flex/ext wrist w/wo friction ยท HCPCS L6621

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $1,377.57 โ€“ $2,838.30 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $2,112.38 โ€“ $2,816.50 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $2,112.38 โ€“ $5,435.84 4