Add ue prost b/e acrylic cost in Oregon

Add UE prost b/e acrylic · HCPCS L7403

Hospital City Cash price Negotiated range Payers
Providence Milwaukie Hospital Milwaukie not published $435.50 – $885.16 7
Providence St Vincent Medical Center Portland not published $435.50 – $885.16 7
Providence Portland Medical Center Portland not published $435.50 – $885.16 7
Providence Newberg Medical Center Newberg not published $435.50 – $809.92 6