Barrier film 28ml spray no stng cavilon cost in Illinois
BARRIER FILM 28ML SPRAY NO STNG CAVILON · HCPCS A4369
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| OSF Saint Francis Medical Center | Peoria | not published | $2.48 – $2.48 | 1 |
| OSF Saint Anthony Medical Center | Rockford | not published | $2.48 – $2.48 | 1 |
| UnityPoint Health - Trinity Moline | Rock Island | not published | $1.44 – $5.42 | 14 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $4.92 – $14.10 | 7 |
| Advocate Condell Medical Center | Libertyville | not published | $4.92 – $8.68 | 7 |
| Advocate Christ Medical Center | Oak Lawn | not published | $4.92 – $13.78 | 7 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $2.92 – $2.92 | 1 |
| Advocate Trinity Hospital | Chicago | not published | $4.92 – $14.10 | 7 |
| Advocate South Suburban Hospital | Hazel Crest | not published | $4.92 – $14.15 | 7 |
| Advocate Sherman Hospital | Elgin | not published | $4.92 – $6.64 | 7 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | not published | $4.92 – $13.97 | 7 |
| Advocate Illinois Masonic Medical Center | Chicago | not published | $4.92 – $14.19 | 7 |