Non-molded lacer cost in Wisconsin

Non-molded lacer ยท HCPCS L2320

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $115.95 โ€“ $256.00 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $177.81 โ€“ $237.08 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $177.81 โ€“ $457.56 4