Revitalon 1 square cm cost in New York

Revitalon 1 square cm · HCPCS Q4157

Hospital City Cash price Negotiated range Payers
Canton-Potsdam Hospital Potsdam not published $108.80 – $126.93 7
Gouverneur Hospital Gouverneur not published $209.56 – $209.56 1
Clifton Springs Hospital and Clinic Clifton Springs not published $103.97 – $209.56 2
Newark Wayne Community Hospital Newark not published $120.89 – $240.99 4
The Unity Hospital of Rochester Rochester not published $163.51 – $209.56 3
Rochester General Hospital Rochester not published $163.51 – $240.99 3
North Central Bronx Bronx not published $128.93 – $310.68 10
South Brooklyn Health Brooklyn not published $128.93 – $310.68 10
Jacobi Medical Center Bronx not published $128.93 – $310.68 10
Elmhurst Hospital Center NY 11373 not published $128.93 – $310.68 10
Harlem Hospital Center New York not published $128.93 – $310.68 10
Metropolitan Hospital Center New York not published $128.93 – $310.68 10
Lincoln Medical Center Bronx not published $128.93 – $310.68 10