Add ue prost b/e acrylic cost in Illinois

Add UE prost b/e acrylic · HCPCS L7403

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Trinity Moline Rock Island not published $220.70 – $711.34 14
Advocate Good Samaritan Hospital Downers Grove not published $644.66 – $1,570.11 7
Advocate Condell Medical Center Libertyville not published $644.66 – $967.22 7
Advocate Christ Medical Center Oak Lawn not published $644.66 – $1,533.80 7
Advocate Trinity Hospital Chicago not published $644.66 – $1,570.11 7
Advocate South Suburban Hospital Hazel Crest not published $644.66 – $1,575.78 7
Advocate Sherman Hospital Elgin not published $644.66 – $853.61 7
Advocate Childrens Hospital - Park Ridge Park Ridge not published $644.66 – $1,555.36 7
Advocate Illinois Masonic Medical Center Chicago not published $644.66 – $1,580.32 7