Tlso r fram soft pre ots cost in Wisconsin

Tlso r fram soft pre ots ยท HCPCS L0467

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $228.06 โ€“ $454.17 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $192.34 โ€“ $256.45 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $192.34 โ€“ $494.95 4