Rib gusset (elastic) each cost in Wisconsin

Rib gusset (elastic) each ยท HCPCS L1280

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $52.52 โ€“ $105.28 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $80.54 โ€“ $107.39 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $80.54 โ€“ $207.26 4