Add ue prost b/e acrylic cost in Maine

Add UE prost b/e acrylic · HCPCS L7403

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $342.74 – $909.21 2
Stephens Memorial Hospital Norway not published $342.74 – $909.21 3
Franklin Memorial Hospital Farmington not published $342.74 – $909.21 3
Mid Coast Hospital Brunswick not published $342.74 – $909.21 7
Waldo County General Hospital Belfast not published $342.74 – $909.21 3
Spring Harbor Hospital Westbrook not published $342.74 – $862.80 4
Pen Bay Medical Center Rockport not published $342.74 – $909.21 7