Add ue prost b/e acrylic cost in Louisiana

Add UE prost b/e acrylic · HCPCS L7403

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $438.00 – $782.15 15
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $223.47 – $491.63 14
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $223.47 – $491.63 14
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $223.47 – $491.63 14
CHRISTUS Louisiana Surgical Hospital Alexandria not published $223.47 – $1,050.31 5
CHRISTUS Coushatta Health Care Center Coushatta not published $223.47 – $223.47 1