Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm cost in Georgia

DRSG WND MESH BOVINE BILAYER 4X10IN MATRIX-Q4104-COST PER SQ CM · HCPCS Q4104

Hospital City Cash price Negotiated range Payers
Adventhealth Redmond Rome not published $47.63 – $359.56 6
Wellstar Windy Hill Hospital Marietta not published $99.87 – $99.87 1
Wellstar West Georgia Medical Center Lagrange not published $99.87 – $240.01 8
Wellstar Sylvan Grove Hospital Jackson not published $99.87 – $99.87 1
Wellstar Spalding Regional Hospital Griffin not published $99.87 – $244.65 8
Wellstar Paulding Hospital Hiram not published $99.87 – $233.84 6
Wellstar North Fulton Hospital Roswell not published $99.87 – $233.84 6
Wellstar MCG Health Augusta not published $99.87 – $213.74 13
Wellstar Kennestone Hospital Marietta not published $99.87 – $233.84 6
Wellstar Douglas Hospital Douglasville not published $99.87 – $231.74 6
Wellstar Cobb Hospital Austell not published $99.87 – $233.84 6