Barrier film 28ml spray no stng cavilon cost in Ohio

BARRIER FILM 28ML SPRAY NO STNG CAVILON · HCPCS A4369

Hospital	City	Cash price	Negotiated range	Payers
University Hospitals Cleveland Medical Center	Cleveland OH 44106\|3999 Richmond Road	not published	$3.46 – $6.23	16
University Hospitals Portage Medical Center	Ravenna OH 44266	not published	$3.46 – $6.23	16
University Hospitals Parma Medical Center	Parma OH 44129\|7007 Powers Boulevard	not published	$3.46 – $6.23	17
University Hospitals Lake West Medical Center	Willoughby OH 44094\|7590 Auburn Road	not published	$3.46 – $6.23	19