Icatibant injection cost in Wisconsin

Icatibant injection · HCPCS J1744

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $137.85 – $367.70 2
SSM Health Monroe Hospital Monroe not published $125.32 – $375.95 5
UnityPoint Health - Meriter Hospital Madison not published $95.99 – $397.62 9
SSM Health St. Mary's Hospital - Madison Madison not published $181.71 – $181.71 1
SSM Health St. Mary's Hospital - Janesville Janesville not published $181.71 – $181.71 1
SSM Health St. Clare Hospital - Baraboo Baraboo not published $181.71 – $181.71 1
SSM Health Waupun Memorial Hospital Waupun not published $137.85 – $367.70 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $137.85 – $367.70 2