Replace socket brim cust fit cost in Wisconsin

Replace socket brim cust fit ยท HCPCS L4030

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $368.54 โ€“ $738.73 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $565.12 โ€“ $753.50 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $565.12 โ€“ $1,454.26 4