Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit cost in Wisconsin

CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT · HCPCS J0717

Hospital City Cash price Negotiated range Payers
SSM Health Waupun Memorial Hospital Waupun not published $4.22 – $10.63 5
SSM Health St. Mary's Hospital - Madison Madison not published $2.58 – $8.52 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $2.58 – $8.52 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $2.58 – $8.52 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $2.58 – $10.63 8
SSM Health Ripon Community Hospital Ripon not published $4.22 – $10.63 5
SSM Health Monroe Hospital Monroe not published $3.44 – $10.84 6