Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) cost in Wisconsin

ZIV-AFLIBERCEPT 25 MG/ML INTRAVENOUS SOLUTION (WRAPPER) · HCPCS J9400

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $8.64 – $21.73 5
SSM Health Monroe Hospital Monroe not published $8.30 – $22.61 6
UnityPoint Health - Meriter Hospital Madison not published $7.09 – $10.31 9
SSM Health St. Mary's Hospital - Madison Madison not published $6.51 – $15.16 5
Aurora West Allis Medical Center West Allis not published $6.50 – $19.48 13
Aurora Medical Center Washington County Hartford not published $6.50 – $19.48 13
Aurora Medical Center Summit Summit not published $6.50 – $19.48 13
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee not published $6.50 – $19.48 13
Aurora Psychiatric Hospital Wauwatosa not published $6.50 – $19.48 13
Aurora Medical Center Sheboygan County Sheboygan not published $6.50 – $19.48 13
Aurora Medical Center Fond du Lac Fond Du Lac not published $6.50 – $19.48 13
Aurora Medical Center Kenosha Kenosha not published $6.50 – $19.48 13
Aurora Medical Center Manitowoc Two Rivers not published $6.50 – $19.48 13
Aurora Medical Center Grafton Grafton not published $6.50 – $19.48 13
Aurora Medical Center Burlington Burlington not published $6.50 – $19.48 13
Aurora Medical Center Bay Area Marinette not published $6.50 – $19.48 13
Aurora Baycare Medical Center Green Bay not published $6.50 – $19.48 13
SSM Health St. Mary's Hospital - Janesville Janesville not published $6.51 – $15.16 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $6.51 – $15.16 5
SSM Health Waupun Memorial Hospital Waupun not published $8.64 – $21.73 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $6.51 – $21.73 8