NDC 00023-5858-01

LILETTA 20.4 MCG/24 HRS (8 YRS) 52 MG IU IUD at Gundersen Palmer Lutheran Hospital and Clinic Inc

West Union, IA

Pricing by billing methodology

Price type

All methodologies

$1.2k

Case rate

$1.2k

Fee schedule

Not reported

Per diem

Not reported

Percent of billed charges

$1.2k

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.