Lso sag ctr rigi pos pre ots cost in Wisconsin

Lso sag ctr rigi pos pre ots ยท HCPCS L0643

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $97.36 โ€“ $200.54 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $80.10 โ€“ $106.80 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $80.10 โ€“ $206.12 4