Barrier film 28ml spray no stng cavilon cost in California

BARRIER FILM 28ML SPRAY NO STNG CAVILON · HCPCS A4369

Hospital City Cash price Negotiated range Payers
Providence Saint Joseph Medical Center Burbank not published $4.08 – $4.08 1
Providence Saint John's Health Center Santa Monica not published $4.08 – $4.84 2
Providence Little Company of Mary Med Center Torrance Torrance not published $4.08 – $4.08 1
Providence Little Co of Mary Med Center San Pedro San Pedro not published $4.08 – $4.08 1
Providence Holy Cross Medical Center Mission Hills not published $4.08 – $4.08 1
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $4.08 – $4.08 1