Barrier film 28ml spray no stng cavilon cost in Indiana

BARRIER FILM 28ML SPRAY NO STNG CAVILON · HCPCS A4369

Hospital City Cash price Negotiated range Payers
Parkview Whitley Hospital & Parkview Kosciusko Hospital Columbia City not published $4.50 – $20.57 2
Parkview Ortho Hospital Fort Wayne not published $5.19 – $20.57 2
Parkview Noble Hospital Kendallville not published $4.41 – $20.57 2
Parkview Wabash Hospital Wabash not published $20.57 – $20.57 1
Parkview LaGrange Hospital Lagrange not published $20.57 – $20.57 1
Parkview Huntington Hospital Huntington not published $4.50 – $20.57 2
Parkview DeKalb Hospital Auburn not published $4.50 – $20.57 2
Parkview Regional Medical Center & Parkview Hospital Randallia Fort Wayne not published $5.19 – $20.57 2