Replace molded calf lacer cost in Wisconsin

Replace molded calf lacer ยท HCPCS L4050

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $247.19 โ€“ $542.28 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $379.03 โ€“ $505.37 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $379.03 โ€“ $975.36 4