Followup eval of foot pt lop cost in Wisconsin

Followup eval of foot pt lop · HCPCS G0246

Hospital City Cash price Negotiated range Payers
SSM Health Monroe Hospital Monroe not published $129.32 – $129.32 1
UnityPoint Health - Meriter Hospital Madison not published $18.48 – $37.69 9
SSM Health St. Clare Hospital - Baraboo Baraboo not published $96.99 – $129.32 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $98.76 – $254.15 4