NDC 121042104
Low
$4
Average
$4
Median
$4
High
$4
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $6 | $4 | $2 | 47% | — | $1 – $6 |
Ask Claude or any MCP client for NDC 121042104 pricing at a specific hospital — see how to connect.