Add ue prost b/e acrylic cost in New Mexico

Add UE prost b/e acrylic · HCPCS L7403

Hospital City Cash price Negotiated range Payers
Gerald Champion Regional Medical Center Alamogordo not published $445.31 – $489.84 5
CHRISTUS St. Vincent Regional Medical Center Santa Fe not published $445.31 – $893.88 16