NDC 17856-0312-02
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
GAVILAX 17 G PO PACK
Low
$11
Average
$12
Median
$12
High
$13
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Stormont Vail Healthcare, Inc Topeka, KS | $14 | $13 | $3 | 20% | — | $10 – $16 |
| 2 | Stormont Vail Healthcare, Inc Topeka, KS | $10 | $11 | $2 | 14% | — | $10 – $14 |
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