Inj., emicizumab-kxwh 0.5 mg cost in Wisconsin

Inj., emicizumab-kxwh 0.5 mg · HCPCS J7170

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $56.32 – $141.62 5
SSM Health Monroe Hospital Monroe not published $51.98 – $141.52 6
UnityPoint Health - Meriter Hospital Madison not published $52.57 – $60.28 9
SSM Health St. Mary's Hospital - Madison Madison not published $43.52 – $109.12 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $43.52 – $109.12 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $43.52 – $109.12 5
SSM Health Waupun Memorial Hospital Waupun not published $56.32 – $141.62 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $43.52 – $141.62 8