NDC 67457-0220-05

ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION at FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE

LAFAYETTE, IN

Pricing by billing methodology

Price type

All methodologies

$68

15 samples

Case rate

Not reported

Fee schedule

$16

15 samples

Per diem

Not reported

Percent of billed charges

$94

Other

$10

Last updated: Jan 1, 2026

See ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.