Add ue prost a/e ultlite mat cost in Alaska

Add UE prost a/e ultlite mat · HCPCS L7401

Hospital City Cash price Negotiated range Payers
St Elias Specialty Hospital Anchorage not published $412.01 – $448.11 4
Providence Alaska Medical Center Anchorage not published $1,401.96 – $1,401.96 1