F-18 fluciclovine per mci cost in Maine

F-18 FLUCICLOVINE PER MCI · HCPCS A9588

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $489.60 – $1,035.98 3
Stephens Memorial Hospital Norway not published $489.60 – $1,035.98 3
Franklin Memorial Hospital Farmington not published $489.60 – $1,035.98 3
Mid Coast Hospital Brunswick not published $268.42 – $1,035.98 8
Waldo County General Hospital Belfast not published $489.60 – $1,035.98 3
Spring Harbor Hospital Westbrook not published $268.42 – $977.38 5
Pen Bay Medical Center Rockport not published $268.42 – $1,035.98 8