Inj follitropin alfa 75 iu cost in Louisiana

Inj follitropin alfa 75 iu · HCPCS S0126

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $147.41 – $204.25 2
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $122.94 – $204.25 2
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $166.51 – $204.25 2
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $166.51 – $204.25 2
CHRISTUS Louisiana Surgical Hospital Alexandria not published $233.30 – $233.30 1
CHRISTUS Coushatta Health Care Center Coushatta not published $204.25 – $204.25 1