Add ue prost be/wd, ultlite cost in Illinois

Add UE prost be/wd, ultlite · HCPCS L7400

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Trinity Moline Rock Island not published $183.68 – $591.98 14
Advocate Good Samaritan Hospital Downers Grove not published $536.49 – $1,306.86 7
Advocate Condell Medical Center Libertyville not published $536.49 – $805.05 7
Advocate Christ Medical Center Oak Lawn not published $536.49 – $1,276.64 7
Advocate Trinity Hospital Chicago not published $536.49 – $1,306.86 7
Advocate South Suburban Hospital Hazel Crest not published $536.49 – $1,311.58 7
Advocate Sherman Hospital Elgin not published $536.49 – $710.38 7
Advocate Childrens Hospital - Park Ridge Park Ridge not published $536.49 – $1,294.58 7
Advocate Illinois Masonic Medical Center Chicago not published $536.49 – $1,315.35 7