Ioxaglate 39.3%-19.6% inj 200 ml cost in Wisconsin

Ioxaglate 39.3%-19.6% Inj 200 ml · HCPCS Q9964

Hospital City Cash price Negotiated range Payers
Aurora West Allis Medical Center West Allis not published $0.01 – $0.44 2
Aurora Medical Center Washington County Hartford not published $0.01 – $0.44 2
Aurora Medical Center Summit Summit not published $0.01 – $0.44 2
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee not published $0.01 – $0.44 2
Aurora Psychiatric Hospital Wauwatosa not published $0.01 – $0.44 2
Aurora Medical Center Sheboygan County Sheboygan not published $0.01 – $0.44 2
Aurora Medical Center Fond du Lac Fond Du Lac not published $0.01 – $0.44 2
Aurora Medical Center Kenosha Kenosha not published $0.01 – $0.44 2
Aurora Medical Center Manitowoc Two Rivers not published $0.01 – $0.44 2
Aurora Medical Center Grafton Grafton not published $0.01 – $0.44 2
Aurora Medical Center Burlington Burlington not published $0.01 – $0.44 2
Aurora Medical Center Bay Area Marinette not published $0.01 – $0.44 2
Aurora Baycare Medical Center Green Bay not published $0.01 – $0.44 2