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  4. /NDC 00085720601

NDC 00085720601

MOMETASONE-FORMOTEROL HFA 100 MCG-5 MCG/ACTUATION AEROSOL INHALER at Floyd Healthcare Management Inc

Rome, GA

Pricing by billing methodology

Price type

All methodologies

$1.6k

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

$1.6k

Reflects a negotiated percentage of total billed charges.

Other

$45

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

Last updated: Nov 19, 2025

Compare to other hospitals

See MOMETASONE-FORMOTEROL HFA 100 MCG-5 MCG/ACTUATION AEROSOL INHALER 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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