Biodfence dryflex, 1cm cost in Wisconsin

Biodfence dryflex, 1cm · HCPCS Q4138

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $103.69 – $254.74 4
SSM Health Monroe Hospital Monroe not published $94.26 – $256.62 6
UnityPoint Health - Meriter Hospital Madison not published $100.40 – $242.39 3
SSM Health St. Mary's Hospital - Madison Madison not published $90.66 – $190.76 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $94.01 – $190.76 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $90.66 – $190.76 5
SSM Health Waupun Memorial Hospital Waupun not published $103.69 – $254.74 4
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $92.32 – $254.74 7