NDC 63323048807

LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200000 IJ SOLN

Reported by 12 hospitals in the network under the fee schedule methodology.

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Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

Average

Median

High

$20

#	Hospital	Location
1	The Finley Hospital	Dubuque, IA	$0	$0	—	—	$0	$0
2	Central Iowa Hospital Corporation	Des Moines, IA	$0	$0	—	—	$0	$0
3	Central Iowa Hospital Corporation	Des Moines, IA	$0	$0	—	—	$0	$0
4	Allen Memorial Hospital Corporation	Waterloo, IA	$0	$0	—	—	$0	$2
5	North Carolina Baptist Hospital	Bermuda Run, NC	$0	$0	—	—	$0	$52
6	University of North Carolina Hospitals at Chapel Hill	Chapel Hill, NC	$0	$0	$0	—	$0	$16
7	The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania	Philadelphia, PA	$0	$9	$23	—	$0	$65
8	Pennsylvania Hospital of the University of Pennsylvania Health System	Philadelphia, PA	$0	$5	$17	—	$0	$65
9	Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center	Philadelphia, PA	$0	$6	$18	—	$0	$65
10	The Chester County Hospital	West Chester, PA	$7	$20	$27	—	$0	$65

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