O shoe add instep extension cost in Wisconsin

O shoe add instep extension ยท HCPCS L3570

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $51.23 โ€“ $105.56 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $78.56 โ€“ $104.74 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $78.56 โ€“ $202.15 4