Indigotindisulfonate 8 mg/ml soln 5 ml ampule cost in Maine

indigotindisulfonate 8 MG/ML Soln 5 mL Ampule ยท HCPCS J9220

Hospital City Cash price Negotiated range Payers
Mid Coast Hospital Brunswick not published $9.96 โ€“ $10.25 5
Spring Harbor Hospital Westbrook not published $9.96 โ€“ $9.96 2
Pen Bay Medical Center Rockport not published $9.96 โ€“ $10.25 5