Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm cost in Indiana
MEMBRANE AFFINITY FRESH AMNIOTIC 2.5X2.5CM -COST PER SQ CM · HCPCS Q4159
$4,077.00
lowest in Indiana
$4,077.00
state median
$5,437.20
highest in Indiana
$1,871.63
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel | $4,077.00 | $37.56 – $1,934.07 | 21 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis | $4,077.00 | $37.56 – $1,934.07 | 21 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo | $5,437.20 | $37.56 – $1,152.46 | 20 |