Add ue prost be/wd, ultlite cost in Alaska

Add UE prost be/wd, ultlite · HCPCS L7400

Hospital City Cash price Negotiated range Payers
St Elias Specialty Hospital Anchorage not published $368.03 – $400.28 4
Providence Alaska Medical Center Anchorage not published $1,252.27 – $1,252.27 1