Loncastuximab tesirine-lpyl 10 mg intravenous solution cost in Wisconsin

LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION · HCPCS J9359

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $229.67 – $577.50 5
SSM Health Monroe Hospital Monroe not published $212.00 – $577.17 6
UnityPoint Health - Meriter Hospital Madison not published $206.41 – $218.78 9
SSM Health St. Mary's Hospital - Madison Madison not published $169.96 – $411.81 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $169.96 – $411.81 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $169.96 – $411.81 5
SSM Health Waupun Memorial Hospital Waupun not published $229.67 – $577.50 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $169.96 – $577.50 8