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NDC 54092070202

54092-0702-02 - icatibant 10 mg/mL Soln

Reported by 73 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

$143

Average

$7.6k

Median

$143

High

$21.2k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$3.6k$7.0k$7.8k$13.0k$2.9k
2Lutheran Musculoskeletal Center LLCFort Wayne, IN$3.4k$6.9k$7.5k$14.1k$2.6k
3St. Joseph Health System, LLCWayne, IN$3.3k$7.8k$8.4k$13.6k$3.1k
4Kaiser Foundation Hospital - RosevilleROSEVILLE, CA$117$117$143$196$37
5Kaiser Foundation Hospital - Santa ClaraSANTA CLARA, CA$117$117$143$196$37
6Kaiser Foundation Hospital - Oakland/richmondOakland, CA$117$117$143$196$37
7Kaiser Foundation Hospital - Modesto95356, CA$117$117$143$196$37
8Kaiser Foundation Hospital - South SacramentoSACRAMENTO, CA$117$117$143$196$37
9Kaiser Foundation Hospital - SacramentoSACRAMENTO, CA$117$117$143$196$37
10Kaiser Foundation Hospital & Rehab Center - VallejoVALLEJO, CA$117$117$143$196$37
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