Add ue prost s/d ultlite mat cost in California

Add UE prost s/d ultlite mat · HCPCS L7402

Hospital City Cash price Negotiated range Payers
Providence Saint John's Health Center Santa Monica not published $445.33 – $823.86 7
Providence St Joseph Hospital Orange Orange not published $378.53 – $823.86 3
Providence Saint Joseph Medical Center Burbank not published $445.33 – $823.86 6
Providence Little Company of Mary Med Center Torrance Torrance not published $445.33 – $823.86 6
Providence Little Co of Mary Med Center San Pedro San Pedro not published $445.33 – $823.86 6
Providence Holy Cross Medical Center Mission Hills not published $445.33 – $823.86 6
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $445.33 – $823.86 6