Dexmedetomidine film, 1 mcg cost in Wisconsin

Dexmedetomidine film, 1 mcg · HCPCS J1105

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $0.64 – $0.64 8
SSM Health Waupun Memorial Hospital Waupun not published $1.77 – $1.77 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1.77 – $1.77 1
SSM Health Ripon Community Hospital Ripon not published $1.77 – $1.77 1
SSM Health Monroe Hospital Monroe not published $2.39 – $2.39 1