Add ue prost b/e acrylic cost in Iowa

Add UE prost b/e acrylic · HCPCS L7403

Hospital City Cash price Negotiated range Payers
UnityPoint Health - St. Luke's Hospital Cedar Rapids not published $220.70 – $561.63 9
UnityPoint Health - Trinity Regional Medical Center Fort Dodge not published $220.70 – $561.63 7
UnityPoint Health - Trinity Muscatine Muscatine not published $220.70 – $847.25 12
UnityPoint Health - Trinity Bettendorf Bettendorf not published $220.70 – $707.82 10
UnityPoint Health - St. Lukes Downtown Sioux City not published $220.70 – $561.63 10
UnityPoint Health - Marshalltown Marshalltown not published $220.70 – $561.63 9
UnityPoint Health - Jones Regional Medical Center Anamosa not published $220.70 – $561.63 6
UnityPoint Health - Iowa Lutheran Hospital Des Moines not published $220.70 – $561.63 9
UnityPoint Health - Grinnell Regional Medical Center Grinnell not published $220.70 – $561.63 9
UnityPoint Health - Finley Hospital Dubuque not published $220.70 – $561.63 11
UnityPoint Health - Allen Hospital Waterloo not published $220.70 – $561.63 9