Pegademase bovine, 25 iu cost in Wisconsin
Pegademase bovine, 25 iu · HCPCS J2504
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $420.95 – $420.95 | 1 |
| SSM Health Monroe Hospital | Monroe | not published | $420.95 – $420.95 | 1 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $357.54 – $461.25 | 2 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $420.95 – $420.95 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $420.95 – $420.95 | 1 |