Add ue prost s/d ultlite mat cost in Pennsylvania

Add UE prost s/d ultlite mat · HCPCS L7402

Hospital City Cash price Negotiated range Payers
AHN WEXFORD HOSPITAL WEXFORD not published $211.49 – $798.98 13
GROVE CITY HOSPITAL GROVE CITY not published $225.08 – $798.98 13