Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Dual layer ardeograft 4x8cm
Low
$765
Average
$765
Median
$765
High
$765
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2 hospital rates
iThe hospitals that file a Bcbs La rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Central Louisiana Surgical Hospital Alexandria, LA fee schedule · outpatient | 2 | $765 | $765 | — | — | — | $765 – $765 |
| 2 | Opelousas General Main Campus Opelousas, LA facility · fee schedule · outpatient | 4 | $765 | $765 | — | — | — | $765 – $765 |
← Payers reporting HCPCS Q4333 · Snapshot 20261111T120946Z-9134e7f7