Chloroprocaine opht gel, 1mg cost in Wisconsin
Chloroprocaine opht gel, 1mg · HCPCS J2403
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | not published | $0.60 – $0.60 | 8 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $0.66 – $1.67 | 5 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $0.87 – $1.14 | 3 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $0.87 – $1.14 | 3 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $0.87 – $1.14 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $0.66 – $1.67 | 5 |
| SSM Health Ripon Community Hospital | Ripon | not published | $0.66 – $1.67 | 5 |
| SSM Health Monroe Hospital | Monroe | not published | $0.60 – $1.81 | 6 |