Fluorodopa f-18 diag per mci cost in Wisconsin

Fluorodopa f-18 diag per mci · HCPCS A9602

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $1,357.49 – $1,357.49 1
SSM Health Monroe Hospital Monroe not published $855.55 – $1,357.49 2
UnityPoint Health - Meriter Hospital Madison not published $498.62 – $498.62 8
SSM Health Waupun Memorial Hospital Waupun not published $1,357.49 – $1,357.49 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $641.66 – $1,651.21 5