Aggregated across all available billing methodologies for this code.Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.Reflects negotiated fee schedule rates with commercial payers.Reflects a negotiated per diem rate paid per day of care.Reflects a negotiated percentage of total billed charges.Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Sep 8, 2026

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Alice Hyde Medical Center
NDC 12547-0493-62

NDC 12547-0493-62

POLYETHYLENE GLYCOL 400 1 % EYE DROPS at Alice Hyde Medical Center

Malone, NY

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Last updated: Sep 8, 2026

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