Factor xiii recomb a-subunit cost in Wisconsin

Factor xiii recomb a-subunit · HCPCS J7181

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $18.59 – $46.74 5
SSM Health Monroe Hospital Monroe not published $17.34 – $47.21 6
UnityPoint Health - Meriter Hospital Madison not published $17.63 – $15,000.65 9
SSM Health St. Mary's Hospital - Madison Madison not published $14.34 – $34.76 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $14.34 – $34.76 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $14.34 – $34.76 5
SSM Health Waupun Memorial Hospital Waupun not published $18.59 – $46.74 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $14.34 – $46.74 8