Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm cost in Louisiana

MEMBRANE AFFINITY FRESH AMNIOTIC 2.5X2.5CM -COST PER SQ CM · HCPCS Q4159

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $323.91 – $1,080.00 2
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $323.91 – $1,080.00 2
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $323.91 – $1,080.00 2
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $323.91 – $1,080.00 2
CHRISTUS Louisiana Surgical Hospital Alexandria not published $289.22 – $671.55 2
CHRISTUS Coushatta Health Care Center Coushatta not published $323.91 – $1,080.00 2