Add ue prost a/e acrylic cost in Minnesota

Add UE prost a/e acrylic · HCPCS L7404

Hospital City Cash price Negotiated range Payers
Sanford Worthington Medical Center Worthington not published $622.53 – $839.18 8
Sanford Bemidji Medical Center Bemidji not published $633.74 – $839.18 8