NDC 00904-5734-11
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
nicotine 2 mg Gum 110 each BOX
Low
$2
Average
$2
Median
$2
High
$2
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Allina Health Systems River Falls, WI | $2 | $2 | $0 | 3% | — | $1 – $4 |
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