O shoe add horseshoe toe tap cost in Wisconsin

O shoe add horseshoe toe tap ยท HCPCS L3560

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $13.75 โ€“ $28.33 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $21.08 โ€“ $28.11 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $21.08 โ€“ $54.25 4