One-way allow prorated trip cost in Maine

One-way allow prorated trip ยท HCPCS P9604

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $6.63 โ€“ $21.69 5
Stephens Memorial Hospital Norway not published $6.63 โ€“ $21.69 7
Franklin Memorial Hospital Farmington not published $5.08 โ€“ $21.69 6