Add ue prost s/d ultlite mat cost in Louisiana

Add UE prost s/d ultlite mat · HCPCS L7402

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $440.70 – $786.96 15
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $224.85 – $494.66 14
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $224.85 – $494.66 14
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $224.85 – $494.66 14
CHRISTUS Louisiana Surgical Hospital Alexandria not published $224.85 – $1,056.77 5
CHRISTUS Coushatta Health Care Center Coushatta not published $224.85 – $224.85 1