I125 iothalamate, dx cost in Wisconsin
I125 iothalamate, dx · HCPCS A9554
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $105.68 – $105.68 | 1 |
| SSM Health Monroe Hospital | Monroe | not published | $105.68 – $649.64 | 2 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $42.75 – $150.43 | 2 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $105.68 – $105.68 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $105.68 – $1,253.81 | 5 |