Lso sc r pos/lat pnl pre cst cost in Wisconsin

Lso sc r pos/lat pnl pre cst ยท HCPCS L0633

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $172.37 โ€“ $355.12 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $264.31 โ€“ $352.41 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $264.31 โ€“ $680.15 4