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NDC 76329301205

76329-3012-05 - lidocaine topical 2 Gel-Ap

Reported by 19 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$4

Average

$39

Median

$30

High

$239

Hospitals reporting this code

#HospitalLocation
1Bluffton Health System LLCBluffton, IN$18$20$20$69—
2Dukes Health System LLCPeru, IN$24$42$41$131$7
3St. Joseph Health System, LLCIN 46802, IN$16$66$66$66—
4Naples HMA LLCNaples, FL$6$34$31$34$8
5Naples HMA LLCFL 34114, FL$6$34$30$34$8
6Naples HMA LLCNaples, FL$6$34$31$34$8
7Northwest Sahurita Hospital LLCAZ 85748, AZ$6$13$12$42$0
8Northwest Sahurita Hospital LLCAZ 85629, AZ$6$13$12$42$0
9Oro Valley Hospital LLCTucson, AZ$6$13$16$42$5
10Northwest Hospital LLCAZ 85741, AZ$6$13$16$42$5
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