NDC 00023-5858-01

LILETTA 20.4 MCG/24 HRS (8 YRS) 52 MG IU IUD at Gundersen Luthern Medical Center Inc

La Crosse, WI

Pricing by billing methodology

Price type

All methodologies

$1.3k

Case rate

$207

Fee schedule

$862

Per diem

Not reported

Percent of billed charges

$1.8k

Other

$201

Last updated: Jun 27, 2026

See LILETTA 20.4 MCG/24 HRS (8 YRS) 52 MG IU IUD pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.