Latex suspension sleeve each cost in Wisconsin

Latex suspension sleeve each ยท HCPCS L6632

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $38.90 โ€“ $88.86 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $59.66 โ€“ $79.54 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $59.66 โ€“ $153.51 4