Symes type poster opening so cost in Wisconsin

Symes type poster opening so ยท HCPCS L5634

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $202.79 โ€“ $406.49 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $310.96 โ€“ $414.62 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $310.96 โ€“ $800.22 4