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

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

Hospital City Cash price Negotiated range Payers
HENRICO DOCTORS HOSPITAL RICHMOND not published $10.65 – $336.92 5
TRICITIES HOSPITAL HOPEWELL not published $10.65 – $336.92 5
STONESPRINGS HOSPITAL CENTER Dulles not published $9.40 – $336.92 4
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $12.15 – $336.92 3
RESTON HOSPITAL CENTER VIENNA not published $12.15 – $336.92 4
LEWISGALE MEDICAL CENTER ROANOKE not published $10.65 – $381.42 4
LEWISGALE HOSPITAL-PULASKI PULASKI not published $9.40 – $336.92 4
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $10.65 – $336.92 4
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $10.65 – $336.92 4
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $10.65 – $336.92 5