Dilate ic vasospasm ea add vsl diff territory cost in Maine

HC DILATE IC VASOSPASM EA ADD VSL DIFF TERRITORY · CPT 61642

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $325.88 – $838.97 5
Stephens Memorial Hospital Norway not published $325.88 – $666.96 7
Franklin Memorial Hospital Farmington not published $325.88 – $666.96 6
Mid Coast Hospital Brunswick not published $325.88 – $666.96 4
Waldo County General Hospital Belfast not published $325.88 – $666.96 7
Spring Harbor Hospital Westbrook not published $445.35 – $765.70 5
Pen Bay Medical Center Rockport not published $325.88 – $700.48 4