Breast prosthesis bra & form cost in Maine

Breast prosthesis bra & form · HCPCS L8001

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $116.76 – $309.73 2
Stephens Memorial Hospital Norway not published $116.76 – $309.73 3
Franklin Memorial Hospital Farmington not published $116.76 – $309.73 3
Mid Coast Hospital Brunswick not published $116.76 – $309.73 7
Waldo County General Hospital Belfast not published $116.76 – $309.73 3
Spring Harbor Hospital Westbrook not published $116.76 – $293.93 4
Pen Bay Medical Center Rockport not published $116.76 – $309.73 7