Urofollitropin, 75 iu cost in Wisconsin
Urofollitropin, 75 iu · HCPCS J3355
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $161.14 – $161.14 | 1 |
| SSM Health Monroe Hospital | Monroe | not published | $161.14 – $161.14 | 1 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $125.15 – $141.55 | 2 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $161.14 – $161.14 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $161.14 – $161.14 | 1 |