Allograft 160mg placental salera mini membrane cost in Wisconsin

ALLOGRAFT 160MG PLACENTAL SALERA MINI MEMBRANE · HCPCS Q4168

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $13.99 – $17.05 2
Aurora West Allis Medical Center West Allis not published $13.64 – $25.58 3
Aurora Medical Center Washington County Hartford not published $13.64 – $25.58 3
Aurora Medical Center Summit Summit not published $13.64 – $25.58 3
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee not published $13.64 – $25.58 3
Aurora Psychiatric Hospital Wauwatosa not published $13.64 – $25.58 3
Aurora Medical Center Sheboygan County Sheboygan not published $13.64 – $25.58 3
Aurora Medical Center Fond du Lac Fond Du Lac not published $13.64 – $25.58 3
Aurora Medical Center Kenosha Kenosha not published $13.64 – $25.58 3
Aurora Medical Center Manitowoc Two Rivers not published $13.64 – $25.58 3
Aurora Medical Center Grafton Grafton not published $13.64 – $25.58 3
Aurora Medical Center Burlington Burlington not published $13.64 – $25.58 3
Aurora Medical Center Bay Area Marinette not published $13.64 – $25.58 3
Aurora Baycare Medical Center Green Bay not published $13.64 – $25.58 3