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HCPCS c9399

GANCICLOVIR 2 MG/0.1 ML INTRAVITREAL INJECTION

Reported by 5 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$8

Average

$8

Median

$8

High

$9

Hospitals reporting this code

#HospitalLocation
1Henry Ford Health SystemDetroit, MI$4$9$9$13$2
2Henry Ford Health SystemWest Bloomfield, MI$4$8$8$12$2
3Henry Ford Macomb Hospital CorporationClinton Twp, MI$4$8$8$11$2
4Henry Ford Wyandotte HospitalWyandotte, MI$3$8$8$11$2
5WA Foote Memorial HospitalJackson, MI$4$9$9$13$3

Look up this code directly

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