Add ue prost s/d ultlite mat cost in Virginia

Add UE prost s/d ultlite mat · HCPCS L7402

Hospital City Cash price Negotiated range Payers
HENRICO DOCTORS HOSPITAL RICHMOND not published $378.53 – $476.50 19
TRICITIES HOSPITAL HOPEWELL not published $378.53 – $601.20 19
STONESPRINGS HOSPITAL CENTER Dulles not published $334.00 – $476.50 12
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $431.97 – $476.50 14
RESTON HOSPITAL CENTER VIENNA not published $431.97 – $476.50 14
LEWISGALE MEDICAL CENTER ROANOKE not published $378.53 – $476.50 18
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $378.53 – $476.50 16
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $378.53 – $601.20 17