NDC 00074434190

LEVOTHYROXINE 25 MCG TABLET

Reported by 5 hospitals in the network under the fee schedule methodology.

Filter by billing methodology

All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$2

Average

$2

Median

$2

High

$2

Hospitals reporting this code

#	Hospital	Location
1	UPMC Lititz	Lititz, PA	$2	$2	—	—	$0	$2
2	UPMC Memorial	York, PA	$2	$2	—	—	$0	$2
3	UPMC Hanover	Hanover, PA	$2	$2	—	—	$0	$2
4	UPMC Carlisle	Carlisle, PA	$2	$2	—	—	$0	$2
5	UPMC Pinnacle Hospitals	Harrisburg, PA	$2	$2	—	—	$0	$2

Look up this code directly

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