Add ue prost b/e acrylic cost in California

Add UE prost b/e acrylic · HCPCS L7403

Hospital City Cash price Negotiated range Payers
Providence Saint John's Health Center Santa Monica not published $442.58 – $818.77 7
Providence St Joseph Hospital Orange Orange not published $376.19 – $818.77 3
Providence Saint Joseph Medical Center Burbank not published $442.58 – $818.77 6
Providence Little Company of Mary Med Center Torrance Torrance not published $442.58 – $818.77 6
Providence Little Co of Mary Med Center San Pedro San Pedro not published $442.58 – $818.77 6
Providence Holy Cross Medical Center Mission Hills not published $442.58 – $818.77 6
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $442.58 – $818.77 6