Inj tofersen intrathec 1 mg cost in Wisconsin

Inj tofersen intrathec 1 mg · HCPCS J1304

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $168.19 – $422.91 5
SSM Health Monroe Hospital Monroe not published $155.34 – $422.91 6
UnityPoint Health - Meriter Hospital Madison not published $150.83 – $155.34 8
SSM Health St. Mary's Hospital - Madison Madison not published $123.61 – $295.15 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $123.61 – $295.15 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $123.61 – $295.15 5
SSM Health Waupun Memorial Hospital Waupun not published $168.19 – $422.91 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $123.61 – $422.91 8