Pegaptanib sodium injection cost in Wisconsin

Pegaptanib sodium injection · HCPCS J2503

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $2,471.06 – $2,471.06 1
SSM Health Monroe Hospital Monroe not published $2,471.06 – $2,471.06 1
UnityPoint Health - Meriter Hospital Madison not published $889.25 – $894.36 2
SSM Health Waupun Memorial Hospital Waupun not published $2,471.06 – $2,471.06 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $2,471.06 – $2,471.06 1