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

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

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $51.26 – $96.06 3
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $51.26 – $80.11 3
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $51.26 – $108.50 3
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $51.26 – $108.50 3
CHRISTUS Louisiana Surgical Hospital Alexandria not published $54.77 – $133.61 2
CHRISTUS Coushatta Health Care Center Coushatta not published $51.26 – $52.50 2