NDC 71266860401

71266-8604-01 - moxifloxacin ophthalmic 1 mL Soln-

Reported by 7 hospitals in the network under the other methodology.

Filter by billing methodology

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Based on 127–523 billing samples across every hospital reporting.

Low

Average

$147

Median

$42

High

$648

#	Hospital	Location
1	Fairview Health Services	Minneapolis, MN	$98	$128	$101	119–443	$10	$391
2	Fairview Health Services	Burnsville, MN	$648	$648	—	5–50	$10	$648
3	Fairview Health Services	Princeton, MN	$42	$42	—	3–30	$10	$49
4	St. Joseph Health System, LLC	Wayne, IN	$143	$143	—	—	$34	$143
5	Foley Hospital Company LLC	Foley, AL	$34	$34	$34	—	$1	$68
6	La Porte Hospital Company LLC	La Porte, IN	$9	$9	—	—	$9	$30
7	The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania	Philadelphia, PA	$33	$24	$11	—	$4	$33

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