Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm cost in Maine

DRSG OASIS BURN WOUND MATRIX 3X3.5CM 10.5SQCM-Q4103-COST PER SQ CM · HCPCS Q4103

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $12.36 – $24.66 5
Stephens Memorial Hospital Norway not published $12.36 – $24.66 8
Franklin Memorial Hospital Farmington not published $12.36 – $24.66 7
Mid Coast Hospital Brunswick not published $12.36 – $24.66 4
Waldo County General Hospital Belfast not published $12.36 – $24.66 8
Spring Harbor Hospital Westbrook not published $12.36 – $24.13 3
Pen Bay Medical Center Rockport not published $12.36 – $24.66 4