NDC 904623761
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
00904-6237-61 - carbidopa-levodopa 25 mg-100 mg Ta
Low
$1
Average
$2
Median
$2
High
$2
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dukes Health System LLC Peru, IN | $1 | $2 | $1 | 40% | — | $1 – $7 |
| 2 | Laredo Texas Hospital Company LP Laredo, TX | $1 | $1 | $0 | 34% | — | $1 – $9 |
| 3 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $2 | $2 | — | — | — | $0 – $2 |
| 4 | Ellis Hospital Schenectady, NY | $2 | $2 | — | — | — | $1 – $2 |
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