Biovance tri or 3l, sq cm cost in Wisconsin
Biovance tri or 3l, sq cm · HCPCS Q4283
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $605.70 – $1,797.89 | 4 |
| SSM Health Monroe Hospital | Monroe | not published | $120.88 – $1,499.12 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $457.32 – $1,059.21 | 3 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $90.66 – $1,221.70 | 5 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $94.01 – $1,221.70 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $90.66 – $1,221.70 | 5 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $605.70 – $1,797.89 | 4 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $92.32 – $1,797.89 | 7 |