Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm cost in Indiana
KIT OMNIGRAFT 2.5X2.5CM DERMAL REGENERATION MATRIX - Q4105-COST PER SQ CM · HCPCS Q4105
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City | not published | $109.34 – $197.50 | 6 |
| Parkview Ortho Hospital | Fort Wayne | not published | $52.17 – $197.50 | 6 |
| Parkview Noble Hospital | Kendallville | not published | $109.34 – $197.50 | 6 |
| Parkview Wabash Hospital | Wabash | not published | $109.34 – $209.78 | 2 |
| Parkview Logansport Hospital | Logansport | not published | $131.66 – $263.33 | 4 |
| Parkview LaGrange Hospital | Lagrange | not published | $109.34 – $209.78 | 2 |
| Parkview Huntington Hospital | Huntington | not published | $109.34 – $197.50 | 6 |
| Parkview DeKalb Hospital | Auburn | not published | $109.34 – $197.50 | 6 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne | not published | $52.17 – $197.50 | 6 |