Polycentric hinge pair cost in Wisconsin

Polycentric hinge pair ยท HCPCS L6600

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $136.60 โ€“ $273.82 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $209.48 โ€“ $279.30 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $209.48 โ€“ $539.05 4