Insti hexaminolevulinate hcl cost in Wisconsin
Insti hexaminolevulinate hcl · HCPCS A9589
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $1,516.25 – $3,753.54 | 4 |
| SSM Health Monroe Hospital | Monroe | not published | $1,378.41 – $4,135.24 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $1,341.19 – $1,428.35 | 4 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $1,944.72 – $2,706.23 | 3 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $1,998.69 – $2,706.23 | 3 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $1,998.69 – $2,706.23 | 3 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $1,516.25 – $3,753.54 | 4 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $1,516.25 – $3,753.54 | 4 |