Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm cost in Louisiana

GRAFT SFT TISS THERASKIN LG 5.1X7.6CM MESHED 39 SQ CM-Q4121-COST PER SQ CM · HCPCS Q4121

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $48.22 – $112.68 3
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $48.22 – $93.98 3
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $48.22 – $127.28 3
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $48.22 – $127.28 3
CHRISTUS Louisiana Surgical Hospital Alexandria not published $56.97 – $123.56 2
CHRISTUS Coushatta Health Care Center Coushatta not published $48.22 – $49.07 2