Add ue prost be/wd, ultlite cost in North Dakota

Add UE prost be/wd, ultlite · HCPCS L7400

Hospital City Cash price Negotiated range Payers
Sanford Fargo Medical Center Fargo not published $343.25 – $392.77 10
Sanford Medical Center Bismarck Bismarck not published $355.37 – $392.77 9