Asxl1 gene target seq alys cost in Wisconsin

ASXL1 GENE TARGET SEQ ALYS · CPT 81176

Hospital	City	Cash price	Negotiated range	Payers
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	not published	$241.90 – $979.76	14
SSM Health Ripon Community Hospital	Ripon	not published	$241.90 – $443.63	4
SSM Health Monroe Hospital	Monroe	not published	$241.90 – $423.33	4
Ascension St. Francis Hospital, Inc.	Milwaukee	not published	$241.90 – $979.76	14
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	not published	$241.90 – $933.73	12
Orthopaedic Hospital of Wisconsin, LLC	Glendale	not published	$234.64 – $308.38	2
UnityPoint Health - Meriter Hospital	Madison	not published	$145.14 – $376.30	9
SSM Health St. Mary's Hospital - Madison	Madison	not published	$181.42 – $1,714.37	5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	not published	$241.90 – $951.37	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	not published	$241.90 – $951.37	16
Midwest Orthopedic Specialty Hospital	Franklin	not published	$241.90 – $979.76	14
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$181.42 – $1,676.26	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$181.42 – $2,095.32	5
Ascension Calumet Hospital, Inc.	Chilton	not published	$254.00 – $933.73	7
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	not published	$241.90 – $933.73	12
SSM Health Waupun Memorial Hospital	Waupun	not published	$241.90 – $443.63	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$181.42 – $466.87	7