Add ue prost s/d ultlite mat cost in Minnesota

Add UE prost s/d ultlite mat · HCPCS L7402

Hospital City Cash price Negotiated range Payers
Sanford Worthington Medical Center Worthington not published $415.00 – $559.44 8
Sanford Bemidji Medical Center Bemidji not published $422.47 – $559.44 8