Add ue prost be/wd, ultlite cost in Virginia

Add UE prost be/wd, ultlite · HCPCS L7400

Hospital City Cash price Negotiated range Payers
HENRICO DOCTORS HOSPITAL RICHMOND not published $313.10 – $394.13 19
TRICITIES HOSPITAL HOPEWELL not published $313.10 – $497.27 19
STONESPRINGS HOSPITAL CENTER Dulles not published $276.26 – $394.13 12
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $357.30 – $394.13 14
RESTON HOSPITAL CENTER VIENNA not published $357.30 – $394.13 14
LEWISGALE MEDICAL CENTER ROANOKE not published $313.10 – $394.13 18
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $313.10 – $394.13 16
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $313.10 – $497.27 17