Add ue prost s/d ultlite mat cost in New Jersey

Add UE prost s/d ultlite mat · HCPCS L7402

Hospital	City	Cash price	Negotiated range	Payers
Monmouth Medical Center Southern Campus	Lakewood	not published	$436.60 – $868.83	9
Monmouth Medical Center	Long Branch	not published	$436.60 – $868.83	8
Jersey City Medical Center	Jersey City	not published	$336.11 – $868.83	9
Newark Beth Israel Medical Center	Newark	not published	$267.36 – $868.83	8
Clara Maass Medical Center	Belleville	not published	$436.60 – $868.83	9
Community Medical Center	Toms River	not published	$436.60 – $868.83	9
Trinitas Regional Medical Center	Elizabeth	not published	$259.72 – $868.83	8
Robert Wood Johnson University Hospital Rahway	Rahway	not published	$436.60 – $868.83	9
Robert Wood Johnson University Hospital Hamilton	Hamilton Township	not published	$436.60 – $868.83	9
Robert Wood Johnson University Hospital Somerset	Somerville	not published	$275.00 – $868.83	9
Southern Ocean Medical Center	Manahawkin	not published	$345.45 – $677.70	2
Riverview Medical Center	Red Bank	not published	$345.45 – $677.70	2
Robert Wood Johnson University Hospital	New Brunswick	not published	$353.00 – $916.86	9
Palisades Medical Center	North Bergen	not published	$692.01 – $1,112.64	2
Jersey Shore University Medical Center	Neptune City	not published	$345.45 – $677.70	2
JFK Johnson Rehabilitation Institute (JRI)	Edison	not published	$242.79 – $692.01	5
Raritan Bay Medical Center	Perth Amboy	not published	$345.45 – $692.01	2
Ocean University Medical Center	Brick	not published	$242.79 – $677.70	5
Hackensack University Medical Center	Hackensack	not published	$692.01 – $692.01	1
Bayshore Medical Center	Holmdel	not published	$345.45 – $345.45	1
Cooperman Barnabas Medical Center	Livingston	not published	$436.60 – $873.20	9