Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm cost in Wisconsin
INTEGRA MATRIX WND INJ FLOWABLE 3CC-Q4114-COST PER SQ CM · HCPCS Q4114
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $1,643.79 – $4,357.67 | 4 |
| SSM Health Monroe Hospital | Monroe | not published | $1,494.35 – $4,483.04 | 6 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $2,166.81 – $2,961.13 | 3 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $2,166.81 – $2,961.13 | 3 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $2,166.81 – $2,961.13 | 3 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $1,643.79 – $4,357.67 | 4 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $1,643.79 – $4,357.67 | 4 |