Restorigin 1 sq cm cost in Wisconsin

Restorigin 1 sq cm · HCPCS Q4191

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $1,034.17 – $2,766.90 4
SSM Health Monroe Hospital Monroe not published $120.88 – $2,559.56 6
UnityPoint Health - Meriter Hospital Madison not published $730.43 – $1,454.88 3
SSM Health St. Mary's Hospital - Madison Madison not published $90.66 – $1,880.17 5
SSM Health St. Mary's Hospital - Janesville Janesville not published $94.01 – $1,880.17 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $90.66 – $1,880.17 5
SSM Health Waupun Memorial Hospital Waupun not published $1,034.17 – $2,766.90 4
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $92.32 – $2,766.90 7