Galac-1-phosphate uridyltran - sendout cost in Louisiana

Galac-1-Phosphate Uridyltran - Sendout · CPT 82775

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $20.65 – $129.55 20
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $20.65 – $130.87 20
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $20.65 – $123.10 19
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $20.65 – $125.56 19
CHRISTUS Louisiana Surgical Hospital Alexandria not published $10.54 – $49.51 9
CHRISTUS Coushatta Health Care Center Coushatta not published $21.07 – $69.01 8