Inj, brolucizumab-dbll, 1 mg cost in Wisconsin

Inj, brolucizumab-dbll, 1 mg · HCPCS J0179

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $366.92 – $922.63 5
SSM Health Monroe Hospital Monroe not published $339.99 – $925.62 6
UnityPoint Health - Meriter Hospital Madison not published $308.81 – $346.19 9
SSM Health St. Mary's Hospital - Madison Madison not published $269.78 – $657.77 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $269.78 – $657.77 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $269.78 – $657.77 5
SSM Health Waupun Memorial Hospital Waupun not published $366.92 – $922.63 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $269.78 – $922.63 8