Repl met band kafo-afo prox cost in Wisconsin

Repl met band kafo-afo prox ยท HCPCS L4080

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $59.71 โ€“ $142.58 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $91.57 โ€“ $122.09 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $91.57 โ€“ $235.63 4