Add le poly knee custom kafo cost in Maine

Add LE poly knee custom KAFO · HCPCS L2387

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $196.37 – $520.90 2
Stephens Memorial Hospital Norway not published $196.37 – $520.90 3
Franklin Memorial Hospital Farmington not published $196.37 – $520.90 3
Mid Coast Hospital Brunswick not published $196.37 – $520.90 7
Waldo County General Hospital Belfast not published $196.37 – $520.90 3
Spring Harbor Hospital Westbrook not published $196.37 – $494.31 4
Pen Bay Medical Center Rockport not published $196.37 – $520.90 7