Polatuzumab vedotin-piiq 140 mg intravenous solution cost in Wisconsin

POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION · HCPCS J9309

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $143.91 – $361.88 5
SSM Health Monroe Hospital Monroe not published $132.73 – $361.35 6
UnityPoint Health - Meriter Hospital Madison not published $118.78 – $136.23 9
SSM Health St. Mary's Hospital - Madison Madison not published $107.71 – $258.84 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $107.71 – $258.84 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $107.71 – $258.84 5
SSM Health Waupun Memorial Hospital Waupun not published $143.91 – $361.88 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $107.71 – $361.88 8