Barrier film 28ml spray no stng cavilon cost in Louisiana

BARRIER FILM 28ML SPRAY NO STNG CAVILON · HCPCS A4369

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $3.32 – $5.93 15
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $1.70 – $3.73 14
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $1.70 – $3.73 14
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $1.70 – $3.73 14
CHRISTUS Louisiana Surgical Hospital Alexandria not published $1.70 – $7.97 5
CHRISTUS Coushatta Health Care Center Coushatta not published $1.70 – $1.70 1