Inj aval alfa-nqpt 4mg cost in Wisconsin

Inj aval alfa-nqpt 4mg · HCPCS J0219

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $84.30 – $211.98 5
SSM Health Monroe Hospital Monroe not published $77.82 – $211.86 6
SSM Health St. Mary's Hospital - Madison Madison not published $62.96 – $153.43 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $62.96 – $153.43 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $62.96 – $153.43 5
SSM Health Waupun Memorial Hospital Waupun not published $84.30 – $211.98 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $62.96 – $211.98 8