O shoe add instep velcro clo cost in Wisconsin

O shoe add instep velcro clo ยท HCPCS L3580

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $38.99 โ€“ $80.34 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $59.78 โ€“ $79.70 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $59.78 โ€“ $153.82 4