Inj, pegulicianine, 1 mg cost in Wisconsin

Inj, pegulicianine, 1 mg · HCPCS A9615

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $102.12 – $102.12 1
SSM Health Monroe Hospital Monroe not published $37.51 – $102.12 2
UnityPoint Health - Meriter Hospital Madison not published $36.45 – $36.45 8
SSM Health Waupun Memorial Hospital Waupun not published $102.12 – $102.12 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $28.13 – $102.12 5