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NDC 11701-0038-16

MICONAZOLE 2% 90GM PWDR

Reported by 34 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

$2

Average

$49

Median

$34

High

$157

Hospitals reporting this code

#HospitalLocation
1Dignity Community CareChandler, AZ$18$70$69$126$36
2Dignity HealthSacramento, CA$44$100$94$127$21
3Dignity HealthPhoenix, AZ$18$89$82$127$29
4Alegent Creighton HealthOmaha, NE$1$3$2$4$1
5Alegent Health Memorial Hospital, SchuylerSchuyler, NE$1$4$4$5$1
6Alegent Creighton HealthPlainview, NE$3$4$4$6$1
7Alegent Creighton HealthPapillion, NE$1$3$2$4$1
8Alegent Health Bergan Mercy Health SystemOmaha, NE$1$3$3$4$1
9Alegent Health Community Memorial Hospital Of Missouri Valley, IowaMissouri Valley, IA$1$4$3$4$1
10Alegent Health Immanuel Medical CenterOmaha, NE$1$3$2$4$1
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Look up this code directly

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