Sio rig pnl pelv/sac pre ots cost in Maine

Sio rig pnl pelv/sac pre ots · HCPCS L0623

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $164.38 – $279.78 2
Stephens Memorial Hospital Norway not published $164.38 – $279.78 3
Franklin Memorial Hospital Farmington not published $164.38 – $279.78 3
Mid Coast Hospital Brunswick not published $133.52 – $279.78 7
Waldo County General Hospital Belfast not published $164.38 – $279.78 3
Spring Harbor Hospital Westbrook not published $133.52 – $263.97 4
Pen Bay Medical Center Rockport not published $164.38 – $279.78 7