Add ue prost a/e ultlite mat cost in New Jersey

Add UE prost a/e ultlite mat · HCPCS L7401

Hospital	City	Cash price	Negotiated range	Payers
Monmouth Medical Center Southern Campus	Lakewood	not published	$404.30 – $804.56	9
Monmouth Medical Center	Long Branch	not published	$404.30 – $804.56	8
Jersey City Medical Center	Jersey City	not published	$311.23 – $804.56	9
Newark Beth Israel Medical Center	Newark	not published	$247.57 – $804.56	8
Clara Maass Medical Center	Belleville	not published	$404.30 – $804.56	9
Community Medical Center	Toms River	not published	$404.30 – $804.56	9
Trinitas Regional Medical Center	Elizabeth	not published	$240.50 – $804.56	8
Robert Wood Johnson University Hospital Rahway	Rahway	not published	$404.30 – $804.56	9
Robert Wood Johnson University Hospital Hamilton	Hamilton Township	not published	$404.30 – $804.56	9
Robert Wood Johnson University Hospital Somerset	Somerville	not published	$254.64 – $804.56	9
Southern Ocean Medical Center	Manahawkin	not published	$319.89 – $627.56	2
Riverview Medical Center	Red Bank	not published	$319.89 – $627.56	2
Robert Wood Johnson University Hospital	New Brunswick	not published	$355.21 – $849.03	9
Palisades Medical Center	North Bergen	not published	$640.81 – $1,030.20	2
Jersey Shore University Medical Center	Neptune City	not published	$319.89 – $627.56	2
JFK Johnson Rehabilitation Institute (JRI)	Edison	not published	$319.89 – $640.81	4
Raritan Bay Medical Center	Perth Amboy	not published	$319.89 – $640.81	2
Ocean University Medical Center	Brick	not published	$319.89 – $627.56	4
Hackensack University Medical Center	Hackensack	not published	$640.81 – $640.81	1
Bayshore Medical Center	Holmdel	not published	$319.89 – $319.89	1
Cooperman Barnabas Medical Center	Livingston	not published	$404.30 – $808.60	9