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NDC 55253080190

55253-0801-90 - modafinil 100 mg Tab

Reported by 54 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

$1

Average

$529.1k

Median

$5

High

$28571.4k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$1$2$3$4$1
2Bluffton Health System LLCBluffton, IN$2$6$6$9$2
3Dukes Health System LLCPeru, IN$2$4$4$8$2
4Warsaw Health System LLCWarsaw, IN$2$6$6$10$2
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$2$5$5$9$2
6St. Joseph Health System, LLCIN 46802, IN$1$3$28571.4k$6$166598.6k
7Dupont Hospital LLCIN 46825, IN$1$2$2$4$1
8Durant HMA LLCDurant, OK$1$4$3$4$1
9Naples HMA LLCNaples, FL$35$92$111$197$64
10Naples HMA LLCFL 34114, FL$35$108$112$197$63
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