Kafo pla sin up w/wo k/a cus cost in Wisconsin

KAFO pla sin up w/wo k/a cus ยท HCPCS L2034

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $1,221.10 โ€“ $2,568.68 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,872.44 โ€“ $2,496.59 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1,872.44 โ€“ $4,818.42 4