Brace back epic tslo 456 cost in Maine

BRACE BACK EPIC TSLO 456 · HCPCS L0457

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $923.88 – $1,576.08 2
Stephens Memorial Hospital Norway not published $923.88 – $1,576.08 3
Franklin Memorial Hospital Farmington not published $923.88 – $1,576.08 3
Mid Coast Hospital Brunswick not published $752.15 – $1,576.08 7
Waldo County General Hospital Belfast not published $923.88 – $1,576.08 3
Spring Harbor Hospital Westbrook not published $752.15 – $1,486.91 4
Pen Bay Medical Center Rockport not published $923.88 – $1,576.08 7