I131 iodide cap, rx cost in Maine

I131 iodide cap, rx · HCPCS A9517

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $36.41 – $450.62 7
Stephens Memorial Hospital Norway not published $36.41 – $450.62 6
Spring Harbor Hospital Westbrook not published $23.13 – $437.88 5
Franklin Memorial Hospital Farmington not published $36.41 – $450.62 6
Mid Coast Hospital Brunswick not published $23.13 – $450.62 9
Waldo County General Hospital Belfast not published $36.41 – $450.62 6
Pen Bay Medical Center Rockport not published $23.13 – $450.62 9