Barrier film 1.0ml wipe cost in California

BARRIER FILM 1.0ML WIPE · HCPCS A5120

Hospital City Cash price Negotiated range Payers
Providence Saint Joseph Medical Center Burbank not published $0.45 – $0.45 1
Providence Saint John's Health Center Santa Monica not published $0.45 – $0.59 2
Providence Little Company of Mary Med Center Torrance Torrance not published $0.45 – $0.45 1
Providence Little Co of Mary Med Center San Pedro San Pedro not published $0.45 – $0.45 1
Providence Holy Cross Medical Center Mission Hills not published $0.45 – $0.45 1
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $0.45 – $0.45 1