Quadrilateral brim cost in Wisconsin

Quadrilateral brim ยท HCPCS L2188

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $168.32 โ€“ $348.52 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $258.11 โ€“ $344.15 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $258.11 โ€“ $664.21 4