Inj levoleucovorin nos 0.5mg cost in Wisconsin
Inj levoleucovorin nos 0.5mg · HCPCS J0641
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $0.02 – $0.12 | 5 |
| SSM Health Monroe Hospital | Monroe | not published | $0.02 – $0.05 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $0.02 – $0.28 | 4 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $0.03 – $0.07 | 3 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $0.03 – $0.07 | 3 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $0.03 – $0.07 | 3 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $0.02 – $0.12 | 5 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $0.02 – $0.12 | 5 |