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  3. /Baylor Scott & White Medical Center - Round Rock
  4. /NDC 54092070202

NDC 54092070202

icatibant 30 mg/3 mL subcutaneous syringe at Baylor Scott & White Medical Center - Round Rock

Round Rock, TX

Pricing by billing methodology

Price type

All methodologies

$19.4k

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

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

Fee schedule

$346

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

$20.1k

Reflects a negotiated percentage of total billed charges.

Other

—

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

Last updated: Jun 13, 2026

Compare to other hospitals

See icatibant 30 mg/3 mL subcutaneous syringe 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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