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NDC 68084062121

68084-0621-21 - modafinil 100 mg Tab

Reported by 4 hospitals in the network under the per diem methodology.

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.

Reflects a negotiated per diem rate paid per day of care.

National pricing summary

Low

$2

Average

$391

Median

$19

High

$1.5k

Hospitals reporting this code

#HospitalLocation
1Dukes Health System LLCPeru, IN$2$2$2$8—
2Affinity Hospital LLCBirmingham, AL$14$25$25$81—
3Gadsden Regional Medical Center LLCGadsden, AL$20$1.5k$1.5k$1.5k—
4Laredo Texas Hospital Company LPLaredo, TX$9$10$13$179$4

Look up this code directly

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