Sio rig pnl pelv/sac pre ots cost in Pennsylvania

Sio rig pnl pelv/sac pre ots · HCPCS L0623

Hospital City Cash price Negotiated range Payers
AHN WEXFORD HOSPITAL WEXFORD not published $56.75 – $214.38 13
GROVE CITY HOSPITAL GROVE CITY not published $93.94 – $214.38 13