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

Add UE prost a/e ultlite mat · HCPCS L7401

Hospital City Cash price Negotiated range Payers
Gerald Champion Regional Medical Center Alamogordo not published $414.90 – $456.39 5
CHRISTUS St. Vincent Regional Medical Center Santa Fe not published $414.90 – $832.84 16