Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm cost in Illinois

GRAFT JCKT XPRESS 2ML FLOWABLE SCAFFOLD-Q4113-COST PER SQ CM · HCPCS Q4113

Hospital City Cash price Negotiated range Payers
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook not published $1,284.36 – $1,284.36 1
UnityPoint Health - Trinity Moline Rock Island not published $391.59 – $1,997.50 7
Advocate Good Samaritan Hospital Downers Grove not published $1,525.76 – $6,751.55 9
Advocate Condell Medical Center Libertyville not published $1,002.99 – $5,293.38 9
Advocate Christ Medical Center Oak Lawn not published $1,525.76 – $6,751.55 9
MercyOne Genesis Aledo Medical Center Aledo not published $1,123.08 – $1,123.08 1
Advocate Trinity Hospital Chicago not published $1,525.76 – $6,751.55 9
Advocate South Suburban Hospital Hazel Crest not published $1,525.76 – $6,751.55 9
Advocate Sherman Hospital Elgin not published $766.16 – $4,694.13 9
Advocate Childrens Hospital - Park Ridge Park Ridge not published $1,525.76 – $6,751.55 9
Advocate Illinois Masonic Medical Center Chicago not published $1,525.76 – $6,751.55 9