Replace afo soft interface cost in Maine

Replace AFO soft interface · HCPCS L4392

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $22.82 – $60.56 2
Stephens Memorial Hospital Norway not published $22.82 – $60.56 3
Franklin Memorial Hospital Farmington not published $22.82 – $60.56 3
Mid Coast Hospital Brunswick not published $22.82 – $60.56 7
Waldo County General Hospital Belfast not published $22.82 – $60.56 3
Spring Harbor Hospital Westbrook not published $22.82 – $57.46 4
Pen Bay Medical Center Rockport not published $22.82 – $60.56 7