Add ue prost a/e acrylic cost in Missouri

Add UE prost a/e acrylic · HCPCS L7404

Hospital City Cash price Negotiated range Payers
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $405.82 – $405.82 1
SSM Health Saint Louis University Hospital Saint Louis not published $477.03 – $817.24 6