Repl met band kafo-afo calf/ cost in Wisconsin

Repl met band kafo-afo calf/ ยท HCPCS L4090

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $50.80 โ€“ $134.75 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $77.91 โ€“ $103.88 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $77.91 โ€“ $200.49 4