Teflon or equal cable lining cost in Wisconsin

Teflon or equal cable lining ยท HCPCS L6665

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $27.58 โ€“ $57.10 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $42.28 โ€“ $56.38 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $42.28 โ€“ $108.81 4