Add ue prost a/e acrylic cost in California

Add UE prost a/e acrylic · HCPCS L7404

Hospital City Cash price Negotiated range Payers
Providence Saint John's Health Center Santa Monica not published $668.02 – $1,235.84 7
Providence St Joseph Hospital Orange Orange not published $567.82 – $1,235.84 3
Providence Saint Joseph Medical Center Burbank not published $668.02 – $1,235.84 6
Providence Little Company of Mary Med Center Torrance Torrance not published $668.02 – $1,235.84 6
Providence Little Co of Mary Med Center San Pedro San Pedro not published $668.02 – $1,235.84 6
Providence Holy Cross Medical Center Mission Hills not published $668.02 – $1,235.84 6
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $668.02 – $1,235.84 6