Barrier film 28ml spray no stng cavilon cost in Maine

BARRIER FILM 28ML SPRAY NO STNG CAVILON · HCPCS A4369

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $2.69 – $7.10 2
Stephens Memorial Hospital Norway not published $2.69 – $7.10 3
Spring Harbor Hospital Westbrook not published $2.69 – $6.74 4
Franklin Memorial Hospital Farmington not published $2.69 – $7.10 3
Mid Coast Hospital Brunswick not published $2.69 – $7.10 7
Waldo County General Hospital Belfast not published $2.69 – $7.10 3
Pen Bay Medical Center Rockport not published $2.69 – $7.10 7