Dermavest, plurivest sq cm cost in Wisconsin

Dermavest, plurivest sq cm · HCPCS Q4153

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $140.89 – $633.55 4
SSM Health Monroe Hospital Monroe not published $120.88 – $348.69 6
UnityPoint Health - Meriter Hospital Madison not published $44.23 – $161.86 4
SSM Health St. Mary's Hospital - Madison Madison not published $64.13 – $430.51 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $94.01 – $430.51 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $90.66 – $430.51 5
SSM Health Waupun Memorial Hospital Waupun not published $140.89 – $633.55 4
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $92.32 – $633.55 7