Unlisted px ant segment eye cost in Wisconsin

UNLISTED PX ANT SEGMENT EYE · CPT 66999

Hospital City Cash price Negotiated range Payers
HSHS St. Nicholas Hospital SHEBOYGAN not published not published 0
SSM Health Ripon Community Hospital Ripon not published $3,579.00 – $10,779.00 3
SSM Health Monroe Hospital Monroe not published $2,241.66 – $13,723.00 3
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $2,183.00 – $16,897.00 6
UnityPoint Health - Meriter Hospital Madison not published $2,203.00 – $19,696.00 8
SSM Health St. Mary's Hospital - Madison Madison not published $1,681.25 – $14,021.00 4
SSM Health St. Mary's Hospital - Janesville Janesville not published $1,743.42 – $13,711.00 4
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,681.25 – $14,312.00 4
SSM Health Waupun Memorial Hospital Waupun not published $3,579.00 – $10,779.00 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1,712.02 – $4,761.00 6