Frame typ sock above elb/dis cost in Wisconsin

Frame typ sock above elb/dis ยท HCPCS L6688

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $382.25 โ€“ $766.21 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $586.15 โ€“ $781.53 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $586.15 โ€“ $1,508.35 4