Shoe heel sach cushion type cost in Wisconsin

Shoe heel sach cushion type ยท HCPCS L3450

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $63.43 โ€“ $130.72 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $97.27 โ€“ $129.69 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $97.27 โ€“ $250.30 4