Afo molded ankle gauntlet cost in Maine

Afo molded ankle gauntlet · HCPCS L1904

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $557.95 – $1,480.11 2
Stephens Memorial Hospital Norway not published $557.95 – $1,480.11 3
Franklin Memorial Hospital Farmington not published $557.95 – $1,480.11 3
Mid Coast Hospital Brunswick not published $557.95 – $1,480.11 7
Waldo County General Hospital Belfast not published $557.95 – $1,480.11 3
Spring Harbor Hospital Westbrook not published $557.95 – $1,404.57 4
Pen Bay Medical Center Rockport not published $557.95 – $1,480.11 7