Add ue prost s/d acrylic cost in Maine

Add UE prost s/d acrylic · HCPCS L7405

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $676.58 – $1,794.78 2
Stephens Memorial Hospital Norway not published $676.58 – $1,794.78 3
Franklin Memorial Hospital Farmington not published $676.58 – $1,794.78 3
Mid Coast Hospital Brunswick not published $676.58 – $1,794.78 7
Waldo County General Hospital Belfast not published $676.58 – $1,794.78 3
Spring Harbor Hospital Westbrook not published $676.58 – $1,703.18 4
Pen Bay Medical Center Rockport not published $676.58 – $1,794.78 7