Add ue prost s/d ultlite mat cost in Wisconsin

Add UE prost s/d ultlite mat ยท HCPCS L7402

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Meriter Hospital Madison not published $223.16 โ€“ $459.83 8
SSM Health St. Clare Hospital - Baraboo Baraboo not published $342.20 โ€“ $456.27 2
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $342.20 โ€“ $880.60 4