Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm cost in Montana
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 |
|---|---|---|---|---|
| Providence St Joseph Medical Center | Polson | not published | $109.91 – $150.80 | 2 |