Factor viii pegylated recomb cost in Wisconsin

Factor viii pegylated recomb · HCPCS J7207

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $2.27 – $5.73 5
SSM Health Monroe Hospital Monroe not published $2.10 – $5.73 6
UnityPoint Health - Meriter Hospital Madison not published $2.03 – $2.15 9
SSM Health St. Mary's Hospital - Madison Madison not published $1.59 – $4.09 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $1.59 – $4.09 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1.59 – $4.09 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1.59 – $5.73 8
SSM Health Waupun Memorial Hospital Waupun not published $2.27 – $5.73 5