Lo rig pos pnl l1-l5 pre ots cost in Missouri

Lo rig pos pnl l1-l5 pre ots · HCPCS L0641

Hospital City Cash price Negotiated range Payers
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $56.81 – $56.81 1
SSM Health Saint Louis University Hospital Saint Louis not published $58.17 – $71.23 6