Add ue prost b/e acrylic cost in New Jersey

Add UE prost b/e acrylic · HCPCS L7403

Hospital City Cash price Negotiated range Payers
Monmouth Medical Center Southern Campus Lakewood not published $433.90 – $863.46 9
Monmouth Medical Center Long Branch not published $433.90 – $863.46 8
Jersey City Medical Center Jersey City not published $334.03 – $863.46 9
Newark Beth Israel Medical Center Newark not published $265.70 – $863.46 8
Clara Maass Medical Center Belleville not published $433.90 – $863.46 9
Community Medical Center Toms River not published $433.90 – $863.46 9
Trinitas Regional Medical Center Elizabeth not published $258.11 – $863.46 8
Robert Wood Johnson University Hospital Rahway Rahway not published $433.90 – $863.46 9
Robert Wood Johnson University Hospital Hamilton Hamilton Township not published $433.90 – $863.46 9
Robert Wood Johnson University Hospital Somerset Somerville not published $273.29 – $863.46 9
Southern Ocean Medical Center Manahawkin not published $343.32 – $673.55 2
Riverview Medical Center Red Bank not published $343.32 – $673.55 2
Robert Wood Johnson University Hospital New Brunswick not published $433.90 – $911.19 9
Palisades Medical Center North Bergen not published $687.77 – $1,105.71 2
Jersey Shore University Medical Center Neptune City not published $343.32 – $673.55 2
JFK Johnson Rehabilitation Institute (JRI) Edison not published $343.32 – $687.77 4
Raritan Bay Medical Center Perth Amboy not published $343.32 – $687.77 2
Ocean University Medical Center Brick not published $343.32 – $673.55 4
Hackensack University Medical Center Hackensack not published $687.77 – $687.77 1
Bayshore Medical Center Holmdel not published $343.32 – $343.32 1
Cooperman Barnabas Medical Center Livingston not published $433.90 – $867.80 9