Add ue prost a/e ultlite mat cost in Virginia

Add UE prost a/e ultlite mat · HCPCS L7401

Hospital City Cash price Negotiated range Payers
HENRICO DOCTORS HOSPITAL RICHMOND not published $350.53 – $441.26 19
TRICITIES HOSPITAL HOPEWELL not published $350.53 – $556.73 19
STONESPRINGS HOSPITAL CENTER Dulles not published $309.29 – $441.26 12
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $400.02 – $441.26 14
RESTON HOSPITAL CENTER VIENNA not published $400.02 – $441.26 14
LEWISGALE MEDICAL CENTER ROANOKE not published $350.53 – $441.26 18
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $350.53 – $441.26 16
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $350.53 – $556.73 17