Biovance tri or 3l, sq cm cost in Missouri

Biovance tri or 3l, sq cm ยท HCPCS Q4283

Hospital City Cash price Negotiated range Payers
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $641.45 โ€“ $845.39 2
SSM Health St. Mary's Hospital - Jefferson City Jefferson City not published $123.96 โ€“ $224.36 8
SSM Health Saint Louis University Hospital Saint Louis not published $122.15 โ€“ $845.39 7