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

Add UE prost be/wd, ultlite · HCPCS L7400

Hospital City Cash price Negotiated range Payers
Sanford Aberdeen Medical Center Aberdeen not published $418.67 – $462.75 8
Sanford USD Medical Center Sioux Falls not published $343.25 – $392.77 9