Lacer molded to patient mode cost in Wisconsin

Lacer molded to patient mode ยท HCPCS L2330

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $220.69 โ€“ $484.29 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $338.41 โ€“ $451.21 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $338.41 โ€“ $870.84 4