Plastic mod low ext pad/line cost in Maine

Plastic mod low ext pad/line ยท HCPCS L2275

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $117.16 โ€“ $310.82 2
Stephens Memorial Hospital Norway not published $117.16 โ€“ $310.82 3
Franklin Memorial Hospital Farmington not published $117.16 โ€“ $310.82 3