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

Lso sc r pos/lat pnl pre ots ยท HCPCS L0649

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 $141.83 โ€“ $189.11 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $141.83 โ€“ $364.98 4