Galac-1-phosphate uridyltran - sendout cost in Maine

Galac-1-Phosphate Uridyltran - Sendout · CPT 82775

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $21.07 – $46.06 5
Stephens Memorial Hospital Norway not published $21.07 – $44.07 7
Pen Bay Medical Center Rockport not published $21.07 – $44.07 7
Franklin Memorial Hospital Farmington not published $21.07 – $44.07 6
Mid Coast Hospital Brunswick not published $11.35 – $46.13 8
Waldo County General Hospital Belfast not published $21.07 – $44.07 7
Spring Harbor Hospital Westbrook not published $21.07 – $42.90 4