Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm cost in Arizona
KIT OMNIGRAFT 2.5X2.5CM DERMAL REGENERATION MATRIX - Q4105-COST PER SQ CM · HCPCS Q4105
$93.28
lowest in Arizona
$104.75
state median
$117.10
highest in Arizona
$234.08
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Banner Boswell Medical Center | Sun City | $93.28 | $26.09 – $303.36 | 17 |
| Banner Baywood Medical Center | Mesa | $103.14 | $26.09 – $284.40 | 17 |
| Banner Thunderbird Medical Center | Glendale | $104.75 | $26.09 – $104.17 | 17 |
| Banner University Medical Center South | Tucson | $112.32 | $26.09 – $111.12 | 17 |
| Banner University Medical Center Tucson | Tucson | $117.10 | $22.38 – $117.26 | 17 |