Inj teplizumab mzwv 5 mcg cost in Wisconsin

Inj teplizumab mzwv 5 mcg · HCPCS J9381

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $40.32 – $101.39 5
SSM Health Monroe Hospital Monroe not published $37.31 – $101.57 6
UnityPoint Health - Meriter Hospital Madison not published $36.95 – $43.49 9
SSM Health St. Mary's Hospital - Madison Madison not published $29.41 – $71.54 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $29.41 – $71.54 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $29.41 – $71.54 5
SSM Health Waupun Memorial Hospital Waupun not published $40.32 – $101.39 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $29.41 – $101.39 8