Barrier film 1.0ml wipe cost in Louisiana

BARRIER FILM 1.0ML WIPE · HCPCS A5120

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $0.29 – $0.53 15
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $0.16 – $0.33 14
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $0.16 – $0.33 14
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $0.16 – $0.33 14
CHRISTUS Louisiana Surgical Hospital Alexandria not published $0.16 – $0.71 5
CHRISTUS Coushatta Health Care Center Coushatta not published $0.16 – $0.16 1