Lumbar derotation pad cost in Wisconsin

Lumbar derotation pad ยท HCPCS L1240

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $54.67 โ€“ $109.58 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $83.83 โ€“ $111.77 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $83.83 โ€“ $215.72 4