Replace quadlat socket brim cost in Wisconsin

Replace quadlat socket brim ยท HCPCS L4020

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $579.95 โ€“ $1,162.49 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $889.30 โ€“ $1,185.74 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $889.30 โ€“ $2,288.48 4