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 POLACRILEX 2 MG GUM
Low
$2
Average
$4
Median
$2
High
$9
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Monument Health Rapid City Hospital Inc City, SD | $10 | $9 | $3 | 36% | 205 | $3 – $12 |
| 2 | Allina Health Systems Buffalo, MN | $2 | $2 | $1 | 35% | — | $0 – $4 |
| 3 | Allina Health Systems Faribualt, MN | $2 | $2 | $1 | 35% | — | $0 – $4 |
| 4 | Allina Health Systems River Falls, WI | $2 | $2 | $1 | 39% | — | $1 – $4 |
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