Replace high roll cuff cost in Wisconsin

Replace high roll cuff ยท HCPCS L4060

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $195.31 โ€“ $391.49 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $299.49 โ€“ $399.32 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $299.49 โ€“ $770.69 4