Inj follitropin alfa 75 iu cost in Maine

Inj follitropin alfa 75 iu · HCPCS S0126

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $121.33 – $246.34 2
Stephens Memorial Hospital Norway not published $121.33 – $246.34 2
Franklin Memorial Hospital Farmington not published $121.33 – $246.34 2
Mid Coast Hospital Brunswick not published $121.33 – $246.34 2
Waldo County General Hospital Belfast not published $121.33 – $246.34 2
Spring Harbor Hospital Westbrook not published $121.32 – $246.34 2
Pen Bay Medical Center Rockport not published $121.33 – $246.34 2