Add ue prost a/e ultlite mat cost in Maine

Add UE prost a/e ultlite mat · HCPCS L7401

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $319.35 – $847.18 2
Stephens Memorial Hospital Norway not published $319.35 – $847.18 3
Franklin Memorial Hospital Farmington not published $319.35 – $847.18 3
Mid Coast Hospital Brunswick not published $319.35 – $847.18 7
Waldo County General Hospital Belfast not published $319.35 – $847.18 3
Spring Harbor Hospital Westbrook not published $319.35 – $803.93 4
Pen Bay Medical Center Rockport not published $319.35 – $847.18 7