Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm cost in Wisconsin
MEMBRANE PLACENTA TISS BIODFENCE G3 2X2CM-4SQCM-Q4116-COST PER SQ CM · HCPCS Q4140
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $185.81 – $467.76 | 4 |
| SSM Health Monroe Hospital | Monroe | not published | $120.88 – $459.89 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $164.84 – $383.38 | 3 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $90.66 – $317.85 | 5 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $94.01 – $317.85 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $90.66 – $317.85 | 5 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $185.81 – $467.76 | 4 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $92.32 – $467.76 | 7 |