Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm cost in Wisconsin
MEMBRANE PLACENTA TISS ENVERSE SHEET 2X3CM-COST PER SQ CM · HCPCS Q4258
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $79.00 – $199.88 | 4 |
| SSM Health Monroe Hospital | Monroe | not published | $71.82 – $195.53 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $63.68 – $82.41 | 4 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $90.66 – $156.58 | 5 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $94.01 – $156.58 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $90.66 – $156.58 | 5 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $79.00 – $199.88 | 4 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $79.00 – $237.56 | 7 |