Add ue prost be/wd, ultlite cost in Georgia

Add UE prost be/wd, ultlite · HCPCS L7400

Hospital City Cash price Negotiated range Payers
Wellstar Windy Hill Hospital Marietta not published $363.30 – $712.07 7
Wellstar Kennestone Hospital Marietta not published $379.46 – $702.00 6