Riboflavin 5'phos opth<=3ml cost in Wisconsin
Riboflavin 5'Phos opth<=3ml · HCPCS J2787
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $7,448.76 – $7,448.76 | 1 |
| SSM Health Monroe Hospital | Monroe | not published | $7,448.76 – $7,448.76 | 1 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $1,609.44 – $2,137.25 | 2 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $7,448.76 – $7,448.76 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $7,448.76 – $7,448.76 | 1 |