Add ue prost b/e acrylic cost in North Carolina

Add UE prost b/e acrylic · HCPCS L7403

Hospital City Cash price Negotiated range Payers
Atrium Health Carolinas Medical Center Charlotte not published $455.94 – $558.75 5
Atrium Health University City Charlotte not published $455.94 – $558.75 5
Carolinas Rehabilitation Charlotte Charlotte not published $455.94 – $470.74 4
Atrium Health Union Monroe not published $455.94 – $558.75 5
Atrium Health Lincoln Lincolnton not published $455.94 – $558.75 5
Atrium Health Cabarrus Concord not published $455.94 – $558.75 5
Atrium Health Cleveland Shelby not published $540.12 – $557.65 4
Atrium Health Stanly Albermarle not published $540.12 – $557.65 4
Atrium Health Pineville Charlotte not published $455.94 – $558.75 5
Atrium Health Mercy Charlotte not published $455.94 – $558.75 5
Atrium Health Anson Wadesboro not published $455.94 – $470.74 4