Add ue prost a/e acrylic cost in New Jersey

Add UE prost a/e acrylic · HCPCS L7404

Hospital City Cash price Negotiated range Payers
Monmouth Medical Center Southern Campus Lakewood not published $654.92 – $1,303.29 9
Monmouth Medical Center Long Branch not published $654.92 – $1,303.29 8
Jersey City Medical Center Jersey City not published $504.17 – $1,303.29 9
Newark Beth Israel Medical Center Newark not published $401.05 – $1,303.29 8
Clara Maass Medical Center Belleville not published $654.92 – $1,303.29 9
Community Medical Center Toms River not published $654.92 – $1,303.29 9
Trinitas Regional Medical Center Elizabeth not published $389.59 – $1,303.29 8
Robert Wood Johnson University Hospital Rahway Rahway not published $654.92 – $1,303.29 9
Robert Wood Johnson University Hospital Hamilton Hamilton Township not published $654.92 – $1,303.29 9
Robert Wood Johnson University Hospital Somerset Somerville not published $412.51 – $1,303.29 9
Southern Ocean Medical Center Manahawkin not published $518.19 – $1,016.59 2
Riverview Medical Center Red Bank not published $518.19 – $1,016.59 2
Robert Wood Johnson University Hospital New Brunswick not published $654.92 – $1,375.33 9
Palisades Medical Center North Bergen not published $1,038.05 – $1,668.84 2
Jersey Shore University Medical Center Neptune City not published $518.19 – $1,016.59 2
JFK Johnson Rehabilitation Institute (JRI) Edison not published $518.19 – $1,038.05 4
Raritan Bay Medical Center Perth Amboy not published $518.19 – $1,038.05 2
Ocean University Medical Center Brick not published $518.19 – $1,016.59 4
Hackensack University Medical Center Hackensack not published $1,038.05 – $1,038.05 1
Bayshore Medical Center Holmdel not published $518.19 – $518.19 1
Cooperman Barnabas Medical Center Livingston not published $654.92 – $1,309.84 9