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  4. /NDC 25682-0028-01

NDC 25682-0028-01

RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION at Alegent Health Bergan Mercy Health System

Omaha, NE

Pricing by billing methodology

Price type

All methodologies

$462

Aggregated across all available billing methodologies for this code.

Case rate

$222

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$488

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

Not reported

Reflects a negotiated percentage of total billed charges.

Other

Not reported

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

Last updated: Feb 28, 2026

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See RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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