Graft tis hmatrix dermis 10x5 -cost per sq cm cost in Wisconsin
GRAFT TIS HMATRIX DERMIS 10X5 -COST PER SQ CM · HCPCS Q4134
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | not published | $162.08 – $162.08 | 1 |
| Aurora West Allis Medical Center | West Allis | not published | $129.66 – $243.12 | 2 |
| Aurora Medical Center Washington County | Hartford | not published | $129.66 – $243.12 | 2 |
| Aurora Medical Center Summit | Summit | not published | $129.66 – $243.12 | 2 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | not published | $129.66 – $243.12 | 2 |
| Aurora Psychiatric Hospital | Wauwatosa | not published | $129.66 – $243.12 | 2 |
| Aurora Medical Center Sheboygan County | Sheboygan | not published | $129.66 – $243.12 | 2 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | not published | $129.66 – $243.12 | 2 |
| Aurora Medical Center Kenosha | Kenosha | not published | $129.66 – $243.12 | 2 |
| Aurora Medical Center Manitowoc | Two Rivers | not published | $129.66 – $243.12 | 2 |
| Aurora Medical Center Grafton | Grafton | not published | $129.66 – $243.12 | 2 |
| Aurora Medical Center Burlington | Burlington | not published | $129.66 – $243.12 | 2 |
| Aurora Medical Center Bay Area | Marinette | not published | $129.66 – $243.12 | 2 |
| Aurora Baycare Medical Center | Green Bay | not published | $129.66 – $243.12 | 2 |