Inj velmanase alfa-tycv 1 mg cost in Wisconsin

Inj velmanase alfa-tycv 1 mg · HCPCS J0217

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $477.27 – $1,200.11 5
SSM Health Monroe Hospital Monroe not published $444.98 – $1,211.46 6
UnityPoint Health - Meriter Hospital Madison not published $432.60 – $465.05 8
SSM Health St. Mary's Hospital - Madison Madison not published $359.39 – $883.59 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $359.39 – $883.59 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $359.39 – $883.59 5
SSM Health Waupun Memorial Hospital Waupun not published $477.27 – $1,200.11 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $359.39 – $1,200.11 8