Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm cost in Virginia
MEMBRANE AFFINITY FRESH AMNIOTIC 2.5X2.5CM -COST PER SQ CM · HCPCS Q4159
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| HENRICO DOCTORS HOSPITAL | RICHMOND | not published | $223.49 – $336.92 | 5 |
| TRICITIES HOSPITAL | HOPEWELL | not published | $223.49 – $336.92 | 5 |
| STONESPRINGS HOSPITAL CENTER | Dulles | not published | $197.20 – $366.07 | 4 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | not published | $255.04 – $336.92 | 3 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $255.04 – $366.07 | 4 |
| LEWISGALE MEDICAL CENTER | ROANOKE | not published | $223.49 – $381.42 | 4 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $197.20 – $336.92 | 4 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $223.49 – $336.92 | 4 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $223.49 – $336.92 | 4 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $223.49 – $336.92 | 5 |