Add ue prost a/e acrylic cost in Pennsylvania

Add UE prost a/e acrylic · HCPCS L7404

Hospital City Cash price Negotiated range Payers
AHN WEXFORD HOSPITAL WEXFORD not published $317.24 – $1,198.50 13
GROVE CITY HOSPITAL GROVE CITY not published $337.62 – $1,198.50 13