Replace molded thigh lacer cost in Wisconsin

Replace molded thigh lacer ยท HCPCS L4040

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $249.58 โ€“ $500.74 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $382.72 โ€“ $510.29 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $382.72 โ€“ $984.86 4