Allograft allowrap 4x4cm dry 16sqcm cost in Wisconsin
ALLOGRAFT ALLOWRAP 4X4CM DRY 16SQCM · HCPCS Q4150
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Waupun Memorial Hospital | Waupun | not published | $91.04 – $236.05 | 4 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $90.66 – $161.23 | 5 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $94.01 – $161.23 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $90.66 – $161.23 | 5 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $91.04 – $237.56 | 7 |
| SSM Health Ripon Community Hospital | Ripon | not published | $91.04 – $236.05 | 4 |
| SSM Health Monroe Hospital | Monroe | not published | $82.76 – $225.31 | 6 |