Add ue prost a/e ultlite mat cost in Minnesota

Add UE prost a/e ultlite mat · HCPCS L7401

Hospital City Cash price Negotiated range Payers
Sanford Worthington Medical Center Worthington not published $384.24 – $518.05 8
Sanford Bemidji Medical Center Bemidji not published $391.16 – $518.05 8