Inj, immphentiv, 20 mcg cost in Wisconsin

Inj, immphentiv, 20 mcg · HCPCS J2373

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $0.15 – $0.38 5
SSM Health Monroe Hospital Monroe not published $0.14 – $0.41 6
UnityPoint Health - Meriter Hospital Madison not published $0.13 – $0.13 8
SSM Health St. Mary's Hospital - Madison Madison not published $0.20 – $0.26 3
SSM Health St. Mary's Hospital - Janesville Janesville not published $0.20 – $0.26 3
SSM Health St. Clare Hospital - Baraboo Baraboo not published $0.20 – $0.26 3
SSM Health Waupun Memorial Hospital Waupun not published $0.15 – $0.38 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $0.15 – $0.38 5