Lo rig pos pnl l1-l5 pre ots cost in Wisconsin

Lo rig pos pnl l1-l5 pre ots ยท HCPCS L0641

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $46.85 โ€“ $96.54 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $38.55 โ€“ $51.40 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $38.55 โ€“ $99.20 4