Add ue prost a/e ultlite mat cost in North Dakota

Add UE prost a/e ultlite mat · HCPCS L7401

Hospital City Cash price Negotiated range Payers
Sanford Fargo Medical Center Fargo not published $384.24 – $439.72 10
Sanford Medical Center Bismarck Bismarck not published $397.84 – $439.72 9