Ring flange plas/leather mol cost in Wisconsin

Ring flange plas/leather mol ยท HCPCS L1110

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $191.39 โ€“ $383.64 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $293.48 โ€“ $391.31 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $293.48 โ€“ $755.23 4