Add ue prost s/d acrylic cost in Virginia

Add UE prost s/d acrylic · HCPCS L7405

Hospital City Cash price Negotiated range Payers
HENRICO DOCTORS HOSPITAL RICHMOND not published $742.60 – $934.81 19
TRICITIES HOSPITAL HOPEWELL not published $742.60 – $1,179.43 19
STONESPRINGS HOSPITAL CENTER Dulles not published $655.24 – $934.81 12
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $847.44 – $934.81 14
RESTON HOSPITAL CENTER VIENNA not published $847.44 – $934.81 14
LEWISGALE MEDICAL CENTER ROANOKE not published $742.60 – $934.81 18
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $742.60 – $934.81 16
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $742.60 – $1,179.43 17