Tlso flex trnk sj-t9 pre ots cost in Wisconsin

Tlso flex trnk sj-t9 pre ots ยท HCPCS L0455

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $208.47 โ€“ $429.53 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $171.50 โ€“ $228.66 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $171.50 โ€“ $441.31 4