Add ue prost s/d acrylic cost in New Jersey

Add UE prost s/d acrylic · HCPCS L7405

Hospital	City	Cash price	Negotiated range	Payers
Monmouth Medical Center Southern Campus	Lakewood	not published	$856.52 – $1,704.47	9
Monmouth Medical Center	Long Branch	not published	$856.52 – $1,704.47	8
Jersey City Medical Center	Jersey City	not published	$659.38 – $1,704.47	9
Newark Beth Israel Medical Center	Newark	not published	$524.51 – $1,704.47	8
Clara Maass Medical Center	Belleville	not published	$856.52 – $1,704.47	9
Community Medical Center	Toms River	not published	$856.52 – $1,704.47	9
Trinitas Regional Medical Center	Elizabeth	not published	$509.52 – $1,704.47	8
Robert Wood Johnson University Hospital Rahway	Rahway	not published	$856.52 – $1,704.47	9
Robert Wood Johnson University Hospital Hamilton	Hamilton Township	not published	$856.52 – $1,704.47	9
Robert Wood Johnson University Hospital Somerset	Somerville	not published	$539.49 – $1,704.47	9
Southern Ocean Medical Center	Manahawkin	not published	$677.72 – $1,329.53	2
Riverview Medical Center	Red Bank	not published	$677.72 – $1,329.53	2
Robert Wood Johnson University Hospital	New Brunswick	not published	$856.52 – $1,798.69	9
Palisades Medical Center	North Bergen	not published	$1,357.60 – $2,182.59	2
Jersey Shore University Medical Center	Neptune City	not published	$677.72 – $1,329.53	2
JFK Johnson Rehabilitation Institute (JRI)	Edison	not published	$476.31 – $1,357.60	5
Raritan Bay Medical Center	Perth Amboy	not published	$677.72 – $1,357.60	2
Ocean University Medical Center	Brick	not published	$476.31 – $1,329.53	5
Hackensack University Medical Center	Hackensack	not published	$1,357.60 – $1,357.60	1
Bayshore Medical Center	Holmdel	not published	$677.72 – $677.72	1
Cooperman Barnabas Medical Center	Livingston	not published	$856.52 – $1,713.04	9