Removable insert each cost in Wisconsin

Removable insert each ยท HCPCS L6691

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $211.72 โ€“ $509.14 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $324.66 โ€“ $432.88 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $324.66 โ€“ $835.46 4