NDC 74104008

00074-1040-08 - beractant 200. Susp at IOM Health System LP

Fort Wayne, IN

Reported pricing

Low

$1.6k

Average

$3.6k

Median

$3.2k

High

$5.9k

Aggregated across all available billing methodologies for this code.

Last updated: Apr 1, 2026

Compare to other hospitals

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