Vyjuvek 5x10^9pfu/ml, 0.1 ml cost in Wisconsin
Vyjuvek 5x10^9pfu/ml, 0.1 ml · HCPCS J3401
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Ripon Community Hospital | Ripon | not published | $1,100.90 – $2,768.19 | 5 |
| SSM Health Monroe Hospital | Monroe | not published | $1,016.67 – $2,767.89 | 6 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $996.94 – $1,037.12 | 8 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $774.33 – $1,970.52 | 5 |
| Aurora West Allis Medical Center | West Allis | not published | $996.96 – $2,480.95 | 12 |
| Aurora Medical Center Washington County | Hartford | not published | $996.96 – $2,480.95 | 12 |
| Aurora Medical Center Summit | Summit | not published | $996.96 – $2,480.95 | 12 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | not published | $996.96 – $2,480.95 | 12 |
| Aurora Psychiatric Hospital | Wauwatosa | not published | $996.96 – $2,480.95 | 12 |
| Aurora Medical Center Sheboygan County | Sheboygan | not published | $996.96 – $2,480.95 | 12 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | not published | $996.96 – $2,480.95 | 12 |
| Aurora Medical Center Kenosha | Kenosha | not published | $996.96 – $2,480.95 | 12 |
| Aurora Medical Center Manitowoc | Two Rivers | not published | $996.96 – $2,480.95 | 12 |
| Aurora Medical Center Grafton | Grafton | not published | $996.96 – $2,480.95 | 12 |
| Aurora Medical Center Burlington | Burlington | not published | $996.96 – $2,480.95 | 12 |
| Aurora Baycare Medical Center | Green Bay | not published | $996.96 – $2,480.95 | 12 |
| Aurora Medical Center Bay Area | Marinette | not published | $996.96 – $2,480.95 | 12 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $774.33 – $1,970.52 | 5 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $774.33 – $1,970.52 | 5 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $1,100.90 – $2,768.19 | 5 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $774.33 – $2,768.19 | 8 |