F-18 florbetapir less than or equal to 10 mci cost in Wisconsin

F-18 FLORBETAPIR LESS THAN OR EQUAL TO 10 MCI · HCPCS A9586

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $5,974.85 – $5,974.85 1
SSM Health Monroe Hospital Monroe not published $1,825.64 – $5,974.85 2
UnityPoint Health - Meriter Hospital Madison not published $2,194.62 – $2,194.62 8
SSM Health Waupun Memorial Hospital Waupun not published $5,974.85 – $5,974.85 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1,369.23 – $5,974.85 5