Add ue prost a/e acrylic cost in Maine

Add UE prost a/e acrylic · HCPCS L7404

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $517.32 – $1,372.34 2
Stephens Memorial Hospital Norway not published $517.32 – $1,372.34 3
Franklin Memorial Hospital Farmington not published $517.32 – $1,372.34 3
Mid Coast Hospital Brunswick not published $517.32 – $1,372.34 7
Waldo County General Hospital Belfast not published $517.32 – $1,372.34 3
Spring Harbor Hospital Westbrook not published $517.32 – $1,302.29 4
Pen Bay Medical Center Rockport not published $517.32 – $1,372.34 7