Ampho b cholesteryl sulfate cost in Maine
Ampho b cholesteryl sulfate · HCPCS J0288
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Lincoln Health | Damariscotta | not published | $14.00 – $148.44 | 3 |
| Stephens Memorial Hospital | Norway | not published | $14.00 – $148.44 | 3 |
| Franklin Memorial Hospital | Farmington | not published | $14.00 – $148.44 | 3 |
| Mid Coast Hospital | Brunswick | not published | $14.00 – $148.44 | 3 |
| Waldo County General Hospital | Belfast | not published | $14.00 – $148.44 | 3 |
| Spring Harbor Hospital | Westbrook | not published | $14.00 – $148.44 | 3 |
| Pen Bay Medical Center | Rockport | not published | $14.00 – $148.44 | 3 |