Lso s/c shell/panel custom cost in Wisconsin

LSO s/c shell/panel custom ยท HCPCS L0640

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $628.97 โ€“ $1,295.92 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $964.48 โ€“ $1,285.97 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $964.48 โ€“ $2,481.92 4