Foscarnet sodium injection cost in Wisconsin

Foscarnet sodium injection · HCPCS J1455

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $23.79 – $104.21 5
SSM Health Monroe Hospital Monroe not published $21.63 – $64.89 6
UnityPoint Health - Meriter Hospital Madison not published $15.58 – $54.15 9
SSM Health St. Mary's Hospital - Madison Madison not published $29.61 – $70.82 3
SSM Health St. Mary's Hospital - Janesville Janesville not published $29.61 – $70.82 3
SSM Health St. Clare Hospital - Baraboo Baraboo not published $29.61 – $70.82 3
SSM Health Waupun Memorial Hospital Waupun not published $23.79 – $104.21 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $23.79 – $104.21 5