Add ue prost s/d ultlite mat cost in Iowa

Add UE prost s/d ultlite mat · HCPCS L7402

Hospital City Cash price Negotiated range Payers
UnityPoint Health - St. Luke's Hospital Cedar Rapids not published $222.08 – $565.14 9
UnityPoint Health - Trinity Regional Medical Center Fort Dodge not published $222.08 – $565.14 7
UnityPoint Health - Trinity Muscatine Muscatine not published $222.08 – $852.48 12
UnityPoint Health - Trinity Bettendorf Bettendorf not published $222.08 – $712.24 10
UnityPoint Health - St. Lukes Downtown Sioux City not published $222.08 – $565.14 10
UnityPoint Health - Marshalltown Marshalltown not published $222.08 – $565.14 9
UnityPoint Health - Jones Regional Medical Center Anamosa not published $222.08 – $565.14 6
UnityPoint Health - Iowa Lutheran Hospital Des Moines not published $222.08 – $565.14 9
UnityPoint Health - Grinnell Regional Medical Center Grinnell not published $222.08 – $565.14 9
UnityPoint Health - Finley Hospital Dubuque not published $222.08 – $565.14 11
UnityPoint Health - Allen Hospital Waterloo not published $222.08 – $565.14 9