Add ue prost b/e acrylic cost in Indiana

Add UE prost b/e acrylic · HCPCS L7403

Hospital City Cash price Negotiated range Payers
Parkview Whitley Hospital & Parkview Kosciusko Hospital Columbia City not published $453.48 – $680.22 5
Parkview Ortho Hospital Fort Wayne not published $453.48 – $680.22 5
Parkview Noble Hospital Kendallville not published $453.48 – $680.22 5
Parkview Huntington Hospital Huntington not published $453.48 – $680.22 5
Parkview DeKalb Hospital Auburn not published $453.48 – $680.22 5
Parkview Regional Medical Center & Parkview Hospital Randallia Fort Wayne not published $453.48 – $680.22 5