Ko w/adj jt rot cntrl molded cost in Wisconsin

Ko w/adj jt rot cntrl molded ยท HCPCS L1844

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $915.37 โ€“ $2,341.66 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,403.63 โ€“ $1,871.51 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1,403.63 โ€“ $3,612.01 4