Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm cost in Louisiana

INTEGRA MATRIX WND INJ FLOWABLE 3CC-Q4114-COST PER SQ CM · HCPCS Q4114

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $1,642.32 – $3,896.92 3
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $1,642.32 – $3,250.06 3
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $1,642.32 – $4,401.78 3
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $1,642.32 – $4,401.78 3
CHRISTUS Louisiana Surgical Hospital Alexandria not published $1,643.79 – $4,081.54 2
CHRISTUS Coushatta Health Care Center Coushatta not published $1,642.32 – $1,940.63 2