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NDC 0085134107

MOMETASONE 220 MCG BREATH ACTIVATED POWDER INHALER (SO) at Commonspirit Kansas, Inc.

Ulysses, KS

Pricing by billing methodology

Price type

All methodologies

$167

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

Not reported

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

$167

Reflects a negotiated percentage of total billed charges.

Other

—

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

Last updated: Feb 3, 2026

Compare to other hospitals

See MOMETASONE 220 MCG BREATH ACTIVATED POWDER INHALER (SO) 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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