Foot arch supp premold metat cost in Wisconsin

Foot arch supp premold metat ยท HCPCS L3050

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $28.30 โ€“ $58.30 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $43.38 โ€“ $57.84 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $43.38 โ€“ $111.63 4