Add ue prost a/e ultlite mat cost in California

Add UE prost a/e ultlite mat · HCPCS L7401

Hospital City Cash price Negotiated range Payers
Providence Saint John's Health Center Santa Monica not published $412.39 – $762.92 7
Providence St Joseph Hospital Orange Orange not published $350.53 – $762.92 3
Providence Saint Joseph Medical Center Burbank not published $412.39 – $762.92 6
Providence Little Company of Mary Med Center Torrance Torrance not published $412.39 – $762.92 6
Providence Little Co of Mary Med Center San Pedro San Pedro not published $412.39 – $762.92 6
Providence Holy Cross Medical Center Mission Hills not published $412.39 – $762.92 6
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $412.39 – $762.92 6