Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm cost in Oklahoma
GRAFT SFT TISS GRAFIX AMNIO PRIME 3X4CM 12SQCM-Q4133-COST PER SQ CM · HCPCS Q4133
$332.80
lowest in Oklahoma
$332.80
state median
$682.50
highest in Oklahoma
$1,904.00
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Mercy Hospital Ardmore | Northwest Ardmore | $332.80 | $115.47 – $359.82 | 57 |
| Mercy Hospital Oklahoma City | Oklahoma City | $682.50 | $118.37 – $334.63 | 56 |