Calaspargase pegol-mknl 750 unit/ml intravenous solution cost in Wisconsin

CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION · HCPCS J9118

Hospital City Cash price Negotiated range Payers
SSM Health Waupun Memorial Hospital Waupun not published $82.85 – $208.35 5
SSM Health St. Mary's Hospital - Madison Madison not published $64.34 – $155.62 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $64.34 – $155.62 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $64.34 – $155.62 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $64.34 – $208.35 8
SSM Health Ripon Community Hospital Ripon not published $82.85 – $208.35 5
SSM Health Monroe Hospital Monroe not published $76.53 – $208.35 6