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NDC 74104004

00074-1040-04 - beractant 100. Susp

Reported by 303 hospitals in the network.

National pricing summary

Low

$314

Average

$3.2k

Median

$1.7k

High

$28.6k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$783—$0$2.8k—
2IOM Health System LPFort Wayne, IN$783$1.6k$1.8k$2.8k$656
3IOM Health System LPFort Wayne, IN$768$1.5k$1.7k$2.8k$617
4IOM Health System LPFort Wayne, IN$768$1.5k$1.7k$2.8k$617
5IOM Health System LPFort Wayne, IN$768—$0$2.8k—
6IOM Health System LPFort Wayne, IN$768$1.5k$1.6k$2.8k$583
7IOM Health System LPFort Wayne, IN$783$1.6k$1.8k$2.8k$656
8IOM Health System LPFort Wayne, IN$768$1.5k$1.6k$2.8k$583
9IOM Health System LPFort Wayne, IN$768—$0$2.8k—
10Bluffton Health System LLCBluffton, IN$654$1.5k$1.5k$2.5k$590
Page 1 of 31

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