Inj, alyglo, 500 mg cost in Wisconsin

Inj, alyglo, 500 mg · HCPCS J1552

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $151.92 – $399.91 5
SSM Health Monroe Hospital Monroe not published $121.54 – $376.00 6
UnityPoint Health - Meriter Hospital Madison not published $131.12 – $131.12 8
SSM Health St. Mary's Hospital - Madison Madison not published $91.16 – $271.75 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $91.16 – $271.75 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $91.16 – $271.75 5
SSM Health Waupun Memorial Hospital Waupun not published $151.92 – $399.91 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $91.16 – $399.91 8