Biovance 1 square cm cost in Wisconsin

Biovance 1 square cm · HCPCS Q4154

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $147.03 – $393.01 4
SSM Health Monroe Hospital Monroe not published $120.88 – $363.89 6
UnityPoint Health - Meriter Hospital Madison not published $142.86 – $445.54 4
SSM Health St. Mary's Hospital - Madison Madison not published $90.66 – $271.43 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $94.01 – $271.43 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $90.66 – $271.43 5
SSM Health Waupun Memorial Hospital Waupun not published $147.03 – $393.01 4
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $92.32 – $393.01 7