Revitalon 1 square cm cost in Oklahoma

Revitalon 1 square cm ยท HCPCS Q4157

Hospital City Cash price Negotiated range Payers
SSM Health St. Anthony Hospital - Shawnee Shawnee not published $119.69 โ€“ $333.26 8
SSM Health St. Anthony Hospital - Midwest Midwest City not published $119.69 โ€“ $333.26 8
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City not published $119.69 โ€“ $333.26 10