Add ue prost a/e acrylic cost in Virginia

Add UE prost a/e acrylic · HCPCS L7404

Hospital City Cash price Negotiated range Payers
HENRICO DOCTORS HOSPITAL RICHMOND not published $567.82 – $714.78 19
TRICITIES HOSPITAL HOPEWELL not published $567.82 – $901.83 19
STONESPRINGS HOSPITAL CENTER Dulles not published $501.01 – $714.78 12
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $647.98 – $714.78 14
RESTON HOSPITAL CENTER VIENNA not published $647.98 – $714.78 14
LEWISGALE MEDICAL CENTER ROANOKE not published $567.82 – $714.78 18
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $567.82 – $714.78 16
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $567.82 – $901.83 17