Tissue amnio epifix inj 100mg cost in Illinois

TISSUE AMNIO EPIFIX INJ 100MG · HCPCS Q4145

Hospital City Cash price Negotiated range Payers
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook not published $29.69 – $29.69 1
UnityPoint Health - Trinity Moline Rock Island not published $18.54 – $430.74 7
Advocate Good Samaritan Hospital Downers Grove not published $51.00 – $51.00 2
Advocate Condell Medical Center Libertyville not published $51.00 – $51.00 2
Advocate Christ Medical Center Oak Lawn not published $51.00 – $51.00 2
Advocate Trinity Hospital Chicago not published $51.00 – $51.00 2
Advocate South Suburban Hospital Hazel Crest not published $51.00 – $51.00 2
Advocate Sherman Hospital Elgin not published $51.00 – $51.00 2
Advocate Childrens Hospital - Park Ridge Park Ridge not published $51.00 – $51.00 2
Advocate Illinois Masonic Medical Center Chicago not published $51.00 – $51.00 2