Inj avacincaptad pegol 0.1mg cost in Wisconsin

Inj avacincaptad pegol 0.1mg · HCPCS J2782

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $117.70 – $295.94 5
SSM Health Monroe Hospital Monroe not published $103.20 – $292.51 6
UnityPoint Health - Meriter Hospital Madison not published $105.90 – $105.90 8
SSM Health St. Mary's Hospital - Madison Madison not published $77.40 – $201.20 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $77.40 – $201.20 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $77.40 – $201.20 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $77.40 – $295.94 8
SSM Health Waupun Memorial Hospital Waupun not published $117.70 – $295.94 5