Add ue prost be/wd, ultlite cost in Maine

Add UE prost be/wd, ultlite · HCPCS L7400

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $285.27 – $756.72 2
Stephens Memorial Hospital Norway not published $285.27 – $756.72 3
Franklin Memorial Hospital Farmington not published $285.27 – $756.72 3
Mid Coast Hospital Brunswick not published $285.27 – $756.72 7
Waldo County General Hospital Belfast not published $285.27 – $756.72 3
Spring Harbor Hospital Westbrook not published $285.27 – $718.11 4
Pen Bay Medical Center Rockport not published $285.27 – $756.72 7