Ko w adj flex/ext rotat mold cost in Wisconsin

Ko w adj flex/ext rotat mold ยท HCPCS L1846

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $703.30 โ€“ $1,409.73 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,078.44 โ€“ $1,437.92 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1,078.44 โ€“ $2,775.19 4