Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm cost in Wisconsin
ALLOGRAFT ECM ALLOPATCH HD DEHYDR THICK 0.8-1.7MMX2X5CM-COST PER SQ CM · HCPCS Q4128
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Waupun Memorial Hospital | Waupun | not published | $26.92 – $83.28 | 4 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $35.48 – $120.88 | 5 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $35.48 – $125.35 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $35.48 – $120.88 | 5 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $26.92 – $237.56 | 7 |
| SSM Health Ripon Community Hospital | Ripon | not published | $26.92 – $83.28 | 4 |
| SSM Health Monroe Hospital | Monroe | not published | $24.47 – $73.40 | 6 |