Lso sag-coronal panel custom cost in Wisconsin

LSO sag-coronal panel custom ยท HCPCS L0638

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $792.80 โ€“ $1,633.43 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,215.68 โ€“ $1,620.91 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1,215.68 โ€“ $3,128.36 4