Transparent film <= 16 sq in cost in Maine

Transparent film <= 16 sq in · HCPCS A6257

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $1.72 – $4.48 2
Stephens Memorial Hospital Norway not published $1.72 – $4.48 3
Franklin Memorial Hospital Farmington not published $1.72 – $4.48 3
Mid Coast Hospital Brunswick not published $1.72 – $4.48 7
Waldo County General Hospital Belfast not published $1.72 – $4.48 3
Spring Harbor Hospital Westbrook not published $1.72 – $4.26 4
Pen Bay Medical Center Rockport not published $1.72 – $4.48 7