Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm cost in Montana
DRSG WND MESH BOVINE BILAYER 4X10IN MATRIX-Q4104-COST PER SQ CM · HCPCS Q4104
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Providence St Joseph Medical Center | Polson | not published | $120.96 – $165.95 | 2 |