Add ue prost b/e acrylic cost in Alaska

Add UE prost b/e acrylic · HCPCS L7403

Hospital City Cash price Negotiated range Payers
St Elias Specialty Hospital Anchorage not published $442.20 – $480.95 4
Providence Alaska Medical Center Anchorage not published $1,504.60 – $1,504.60 1