Ampho b cholesteryl sulfate cost in Virginia

Ampho b cholesteryl sulfate · HCPCS J0288

Hospital City Cash price Negotiated range Payers
HENRICO DOCTORS HOSPITAL RICHMOND not published $14.70 – $14.70 1
TRICITIES HOSPITAL HOPEWELL not published $14.70 – $14.70 1
STONESPRINGS HOSPITAL CENTER Dulles not published $12.74 – $12.74 1
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $14.70 – $14.70 1
RESTON HOSPITAL CENTER VIENNA not published $12.74 – $12.74 1
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $14.70 – $14.70 1