Tissue amnio epifix inj 100mg cost in Wisconsin
TISSUE AMNIO EPIFIX INJ 100MG · HCPCS Q4145
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $37.01 – $37.01 | 1 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $18.54 – $21.50 | 4 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $37.01 – $37.01 | 1 |
| Aurora Medical Center Summit | Summit | not published | $24.00 – $38.25 | 2 |
| Aurora Psychiatric Hospital | Wauwatosa | not published | $24.00 – $38.25 | 2 |
| Aurora Medical Center Sheboygan County | Sheboygan | not published | $24.00 – $38.25 | 2 |
| Aurora Medical Center Burlington | Burlington | not published | $24.00 – $38.25 | 2 |
| Aurora Medical Center Bay Area | Marinette | not published | $24.00 – $38.25 | 2 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $37.01 – $37.01 | 1 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $37.01 – $37.01 | 1 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $37.01 – $37.01 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $37.01 – $37.01 | 1 |