Add ue prost a/e ultlite mat cost in Georgia

Add UE prost a/e ultlite mat · HCPCS L7401

Hospital City Cash price Negotiated range Payers
Wellstar Windy Hill Hospital Marietta not published $406.72 – $797.17 7
Wellstar Kennestone Hospital Marietta not published $424.81 – $785.90 6