Allograft graftjacket 2x12cm-q4107-cost per sq cm cost in Louisiana

ALLOGRAFT GRAFTJACKET 2X12CM-Q4107-COST PER SQ CM · HCPCS Q4107

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $91.01 – $236.11 3
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $91.01 – $196.92 3
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $91.01 – $266.70 3
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $91.01 – $266.70 3
CHRISTUS Louisiana Surgical Hospital Alexandria not published $91.01 – $91.01 1
CHRISTUS Coushatta Health Care Center Coushatta not published $91.01 – $144.66 2