Barrier film 1.0ml wipe cost in Maine

BARRIER FILM 1.0ML WIPE · HCPCS A5120

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $0.30 – $0.67 2
Stephens Memorial Hospital Norway not published $0.30 – $0.67 2
Spring Harbor Hospital Westbrook not published $0.30 – $0.30 1
Franklin Memorial Hospital Farmington not published $0.30 – $0.67 2
Mid Coast Hospital Brunswick not published $0.30 – $0.67 2
Waldo County General Hospital Belfast not published $0.30 – $0.67 2
Pen Bay Medical Center Rockport not published $0.30 – $0.67 2