Halo repl liner/interface cost in Wisconsin

Halo repl liner/interface ยท HCPCS L0861

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $129.56 โ€“ $266.91 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $198.67 โ€“ $264.89 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $198.67 โ€“ $511.24 4