Add ue prost a/e ultlite mat cost in Louisiana

Add UE prost a/e ultlite mat · HCPCS L7401

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $408.09 – $728.74 15
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $208.21 – $458.06 14
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $208.21 – $458.06 14
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $208.21 – $458.06 14
CHRISTUS Louisiana Surgical Hospital Alexandria not published $208.21 – $978.59 5
CHRISTUS Coushatta Health Care Center Coushatta not published $208.21 – $208.21 1