Riboflavin 5'phos opth<=3ml cost in Maine

Riboflavin 5'Phos opth<=3ml · HCPCS J2787

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $2,116.50 – $4,348.03 3
Stephens Memorial Hospital Norway not published $2,116.50 – $4,348.03 3
Franklin Memorial Hospital Farmington not published $2,116.50 – $4,348.03 3
Mid Coast Hospital Brunswick not published $2,116.50 – $4,348.03 3
Waldo County General Hospital Belfast not published $2,116.50 – $4,348.03 3
Spring Harbor Hospital Westbrook not published $2,116.50 – $4,225.12 3
Pen Bay Medical Center Rockport not published $2,116.50 – $4,348.03 3