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  4. /NDC 67457024500

NDC 67457024500

OCTREOTIDE ACETATE 100 MCG/ML (1 ML) INJECTION SYRINGE at Central Georgia Rehabilitation LLC

Macon, GA

Pricing by billing methodology

Price type

All methodologies

$40

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

$1

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

$40

Reflects a negotiated percentage of total billed charges.

Other

—

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

Last updated: Nov 19, 2025

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