So vest canvas/web pre ots cost in Wisconsin

So vest canvas/web pre ots ยท HCPCS L3675

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $96.02 โ€“ $197.78 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $147.23 โ€“ $196.31 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $147.23 โ€“ $378.88 4