Ortho shoe add full sole cost in Wisconsin

Ortho shoe add full sole ยท HCPCS L3540

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $30.58 โ€“ $63.00 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $46.89 โ€“ $62.52 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $46.89 โ€“ $120.66 4