Inj travoprost intra impl cost in Wisconsin

Inj travoprost intra impl · HCPCS J7355

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $213.85 – $536.76 3
SSM Health Monroe Hospital Monroe not published $194.41 – $529.29 5
UnityPoint Health - Meriter Hospital Madison not published $191.58 – $195.25 8
SSM Health St. Mary's Hospital - Madison Madison not published $147.56 – $370.98 4
SSM Health St. Mary's Hospital - Janesville Janesville not published $147.56 – $370.98 4
SSM Health St. Clare Hospital - Baraboo Baraboo not published $147.56 – $370.98 4
SSM Health Waupun Memorial Hospital Waupun not published $213.85 – $536.76 3
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $147.56 – $536.76 6