Add ue prost be/wd, ultlite cost in Wisconsin

Add UE prost be/wd, ultlite ยท HCPCS L7400

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $184.58 โ€“ $380.32 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $283.04 โ€“ $377.39 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $283.04 โ€“ $728.36 4