Add ue prost be/wd, ultlite cost in Minnesota

Add UE prost be/wd, ultlite · HCPCS L7400

Hospital City Cash price Negotiated range Payers
Sanford Worthington Medical Center Worthington not published $343.25 – $462.75 8
Sanford Bemidji Medical Center Bemidji not published $349.43 – $462.75 8