Tc-99m exametazime diag cost in Maine

TC-99M EXAMETAZIME DIAG · HCPCS A9521

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $803.57 – $1,748.25 7
Stephens Memorial Hospital Norway not published $1,327.64 – $1,748.25 5
Spring Harbor Hospital Westbrook not published $698.76 – $1,748.25 5
Franklin Memorial Hospital Farmington not published $1,327.64 – $1,748.25 5
Mid Coast Hospital Brunswick not published $698.76 – $1,748.25 9
Waldo County General Hospital Belfast not published $1,327.64 – $1,748.25 5
Pen Bay Medical Center Rockport not published $705.75 – $1,748.25 9