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  4. /NDC 00409434673

NDC 00409434673

AMINOCAPROIC ACID BOLUS 5 G/100 ML NS PREMIX (SIMPLE) at Fairview Health Services

Wyoming, MN

Pricing by billing methodology

Price type

All methodologies

$6

310–616 samples

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

$5

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

$6

177–375 samples

Reflects a negotiated percentage of total billed charges.

Other

$20

133–241 samples

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

Last updated: Feb 5, 2026

Compare to other hospitals

See AMINOCAPROIC ACID BOLUS 5 G/100 ML NS PREMIX (SIMPLE) 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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