Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm cost in Louisiana

KIT OMNIGRAFT 2.5X2.5CM DERMAL REGENERATION MATRIX - Q4105-COST PER SQ CM · HCPCS Q4105

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $26.68 – $74.99 3
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $26.68 – $62.54 3
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $26.68 – $84.70 3
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $26.68 – $84.70 3
CHRISTUS Louisiana Surgical Hospital Alexandria not published $25.58 – $77.21 2
CHRISTUS Coushatta Health Care Center Coushatta not published $26.68 – $52.04 2