Inj. fe derisomaltose 10 mg cost in Wisconsin

Inj. fe derisomaltose 10 mg · HCPCS J1437

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $22.49 – $56.55 5
SSM Health Monroe Hospital Monroe not published $20.83 – $56.71 6
UnityPoint Health - Meriter Hospital Madison not published $18.95 – $24.94 9
SSM Health St. Mary's Hospital - Madison Madison not published $15.81 – $38.42 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $15.81 – $38.42 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $15.81 – $38.42 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $15.81 – $56.55 8
SSM Health Waupun Memorial Hospital Waupun not published $22.49 – $56.55 5