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  3. /Laredo Texas Hospital Company LP
  4. /NDC 68682020175

NDC 68682020175

polyethylene glycol 3350 with electrolytes Susp-Or at Laredo Texas Hospital Company LP

Laredo, TX

Pricing by billing methodology

Price type

All methodologies

$31

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

$4

Reflects negotiated fee schedule rates with commercial payers.

Per diem

$4

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$48

Reflects a negotiated percentage of total billed charges.

Other

$7

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

Last updated: Apr 1, 2026

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