I-131 iobenguane sulf diag mibg cost in Wisconsin

I-131 IOBENGUANE SULF DIAG MIBG · HCPCS A9508

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $2,805.69 – $2,805.69 1
SSM Health Monroe Hospital Monroe not published $953.01 – $2,805.69 2
UnityPoint Health - Meriter Hospital Madison not published $886.96 – $1,275.18 2
SSM Health Waupun Memorial Hospital Waupun not published $2,805.69 – $2,805.69 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $714.76 – $2,805.69 5