Aminolevulinic acid hcl top cost in Oklahoma

Aminolevulinic acid hcl top ยท HCPCS J7308

Hospital City Cash price Negotiated range Payers
SSM Health St. Anthony Hospital - Shawnee Shawnee not published $389.28 โ€“ $759.10 9
SSM Health St. Anthony Hospital - Midwest Midwest City not published $389.28 โ€“ $759.10 9
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City not published $389.28 โ€“ $759.10 11