Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm cost in Wisconsin
GRAFT JCKT XPRESS 2ML FLOWABLE SCAFFOLD-Q4113-COST PER SQ CM · HCPCS Q4113
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $5,438.20 – $5,438.20 | 1 |
| SSM Health Monroe Hospital | Monroe | not published | $5,438.20 – $5,438.20 | 1 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $1,016.79 – $1,997.50 | 2 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $5,438.20 – $5,438.20 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $5,438.20 – $5,438.20 | 1 |