Prefab glove for term device cost in Wisconsin

Prefab glove for term device ยท HCPCS L6890

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $120.29 โ€“ $281.15 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $184.45 โ€“ $245.93 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $184.45 โ€“ $474.64 4