Add ue prost be/wd, ultlite cost in California

Add UE prost be/wd, ultlite · HCPCS L7400

Hospital City Cash price Negotiated range Payers
Providence Saint John's Health Center Santa Monica not published $368.35 – $681.45 7
Providence St Joseph Hospital Orange Orange not published $313.10 – $681.45 3
Providence Saint Joseph Medical Center Burbank not published $368.35 – $681.45 6
Providence Little Company of Mary Med Center Torrance Torrance not published $368.35 – $681.45 6
Providence Little Co of Mary Med Center San Pedro San Pedro not published $368.35 – $681.45 6
Providence Holy Cross Medical Center Mission Hills not published $368.35 – $681.45 6
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $368.35 – $681.45 6