Revitalon 1 square cm cost in Maine

Revitalon 1 square cm · HCPCS Q4157

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $178.13 – $403.10 3
Stephens Memorial Hospital Norway not published $178.13 – $403.10 3
Franklin Memorial Hospital Farmington not published $178.13 – $403.10 3
Mid Coast Hospital Brunswick not published $178.13 – $403.10 3
Waldo County General Hospital Belfast not published $178.13 – $403.10 3
Spring Harbor Hospital Westbrook not published $178.13 – $391.70 3
Pen Bay Medical Center Rockport not published $178.13 – $403.10 3