Add ue prost s/d ultlite mat cost in Alaska

Add UE prost s/d ultlite mat · HCPCS L7402

Hospital City Cash price Negotiated range Payers
St Elias Specialty Hospital Anchorage not published $444.92 – $483.91 4
Providence Alaska Medical Center Anchorage not published $1,513.99 – $1,513.99 1