Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm cost in Maine
KIT OMNIGRAFT 2.5X2.5CM DERMAL REGENERATION MATRIX - Q4105-COST PER SQ CM · HCPCS Q4105
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Lincoln Health | Damariscotta | not published | $24.33 – $59.85 | 5 |
| Stephens Memorial Hospital | Norway | not published | $23.96 – $59.85 | 8 |
| Franklin Memorial Hospital | Farmington | not published | $23.96 – $59.85 | 7 |
| Mid Coast Hospital | Brunswick | not published | $24.33 – $59.85 | 4 |
| Waldo County General Hospital | Belfast | not published | $23.96 – $59.85 | 8 |
| Spring Harbor Hospital | Westbrook | not published | $25.17 – $47.26 | 3 |
| Pen Bay Medical Center | Rockport | not published | $24.33 – $59.85 | 4 |