Add ue prost s/d ultlite mat cost in Maine

Add UE prost s/d ultlite mat · HCPCS L7402

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $344.88 – $914.87 2
Stephens Memorial Hospital Norway not published $344.88 – $914.87 3
Franklin Memorial Hospital Farmington not published $344.88 – $914.87 3
Mid Coast Hospital Brunswick not published $344.88 – $914.87 7
Waldo County General Hospital Belfast not published $344.88 – $914.87 3
Spring Harbor Hospital Westbrook not published $344.88 – $868.17 4
Pen Bay Medical Center Rockport not published $344.88 – $914.87 7