NDC 00517-0374-01
Bellevue, NE
Price type
All methodologies
$25
Case rate
Not reported
Fee schedule
$19
Per diem
Not reported
Percent of billed charges
$15
Other
$58
Last updated: Aug 10, 2026
See INJECTION, NON-RADIOACTIVE, NON-CONTRAST, VISUALIZATION ADJUNCT (E.G., METHYLENE BLUE, ISOSULFAN BLUE), 1 MG pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.