Gauze <= 16 sq in w/border cost in Oklahoma

Gauze <= 16 sq in w/border ยท HCPCS A6219

Hospital City Cash price Negotiated range Payers
SSM Health St. Anthony Hospital - Shawnee Shawnee not published $2.14 โ€“ $2.33 2
SSM Health St. Anthony Hospital - Midwest Midwest City not published $2.00 โ€“ $2.14 2
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City not published $2.00 โ€“ $2.14 2