Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm cost in Wisconsin

DRSG WND 8.2X9CM SQ BILAYER THERAGENESIS STER-74SQ CM-COST PER SQ CM · HCPCS A2008

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $166.64 – $166.64 1
SSM Health Waupun Memorial Hospital Waupun not published $244.81 – $244.81 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $92.32 – $244.81 5
SSM Health Ripon Community Hospital Ripon not published $244.81 – $244.81 1
SSM Health Monroe Hospital Monroe not published $120.88 – $244.81 2