Allograft amnioexcel plus 17mm disk cost in Wisconsin
HC ALLOGRAFT AMNIOEXCEL PLUS 17MM DISK · HCPCS Q4137
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Waupun Memorial Hospital | Waupun | not published | $112.40 – $317.66 | 4 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $90.66 – $215.86 | 5 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $94.01 – $215.86 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $90.66 – $215.86 | 5 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $92.32 – $317.66 | 7 |
| SSM Health Ripon Community Hospital | Ripon | not published | $112.40 – $317.66 | 4 |
| SSM Health Monroe Hospital | Monroe | not published | $102.18 – $278.19 | 6 |