Ethanolamine oleate 100 mg cost in Wisconsin

Ethanolamine oleate 100 mg · HCPCS J1430

Hospital City Cash price Negotiated range Payers
SSM Health St. Mary's Hospital - Janesville Janesville not published $410.45 – $987.08 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $410.45 – $987.08 5
UnityPoint Health - Meriter Hospital Madison not published $498.99 – $556.68 9
SSM Health Waupun Memorial Hospital Waupun not published $532.32 – $1,338.51 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $410.45 – $1,338.51 8
SSM Health Ripon Community Hospital Ripon not published $532.32 – $1,338.51 5
SSM Health Monroe Hospital Monroe not published $497.70 – $1,355.00 6
SSM Health St. Mary's Hospital - Madison Madison not published $410.45 – $987.08 5