Perphenazine 4mg oral cost in Wisconsin

Perphenazine 4mg oral · HCPCS Q0175

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $1.77 – $1.77 1
SSM Health Monroe Hospital Monroe not published $1.77 – $1.77 1
UnityPoint Health - Meriter Hospital Madison not published $0.54 – $2.22 2
Aurora West Allis Medical Center West Allis not published $0.45 – $0.72 3
Aurora Medical Center Washington County Hartford not published $0.45 – $0.72 3
Aurora Medical Center Summit Summit not published $0.45 – $0.72 3
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee not published $0.45 – $0.72 3
Aurora Psychiatric Hospital Wauwatosa not published $0.45 – $0.72 3
Aurora Medical Center Sheboygan County Sheboygan not published $0.45 – $0.72 3
Aurora Medical Center Fond du Lac Fond Du Lac not published $0.45 – $0.72 3
Aurora Medical Center Kenosha Kenosha not published $0.45 – $0.72 3
Aurora Medical Center Manitowoc Two Rivers not published $0.45 – $0.72 3
Aurora Medical Center Grafton Grafton not published $0.45 – $0.72 3
Aurora Medical Center Burlington Burlington not published $0.45 – $0.72 3
Aurora Medical Center Bay Area Marinette not published $0.45 – $0.72 3
Aurora Baycare Medical Center Green Bay not published $0.45 – $0.72 3
SSM Health Waupun Memorial Hospital Waupun not published $1.77 – $1.77 1
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $1.77 – $1.77 1