Revitalon 1 square cm cost in Louisiana

Revitalon 1 square cm · HCPCS Q4157

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $173.13 – $215.07 2
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $173.13 – $215.07 2
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $173.13 – $215.07 2
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $173.13 – $215.07 2
CHRISTUS Louisiana Surgical Hospital Alexandria not published $173.13 – $173.13 1
CHRISTUS Coushatta Health Care Center Coushatta not published $173.13 – $215.07 2