Membrane amniotic barrier 4x4cm-q4163-cost per sq cm cost in Virginia

MEMBRANE AMNIOTIC BARRIER 4X4CM-Q4163-COST PER SQ CM · HCPCS Q4163

Hospital City Cash price Negotiated range Payers
HENRICO DOCTORS HOSPITAL RICHMOND not published $154.85 – $336.92 5
TRICITIES HOSPITAL HOPEWELL not published $154.85 – $336.92 5
STONESPRINGS HOSPITAL CENTER Dulles not published $136.63 – $336.92 4
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $176.71 – $336.92 3
RESTON HOSPITAL CENTER VIENNA not published $176.71 – $336.92 4
LEWISGALE MEDICAL CENTER ROANOKE not published $154.85 – $381.42 4
LEWISGALE HOSPITAL-PULASKI PULASKI not published $136.63 – $336.92 4
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $154.85 – $336.92 4
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $154.85 – $336.92 4
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $154.85 – $336.92 5