NDC 904658304
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
00904-6583-04 - lamiVUDine 150 mg / 1 tab(s) Tab
Low
$0
Average
$13
Median
$12
High
$28
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dukes Health System LLC Peru, IN | $15 | $20 | $8 | 40% | — | $13 – $73 |
| 2 | Laredo Texas Hospital Company LP Laredo, TX | $4 | $5 | $2 | 34% | — | $3 – $63 |
| 3 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $28 | $28 | — | — | — | $3 – $28 |
| 4 | Hillsdale Hospital Hillsdale, MI | $0 | $0 | — | — | — | $0 – $27 |
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