Aggregated across all available billing methodologies for this code.Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.Reflects negotiated fee schedule rates with commercial payers.Reflects a negotiated per diem rate paid per day of care.Reflects a negotiated percentage of total billed charges.Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Aug 2, 2026

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Lodi Memorial Hospital Association Inc
NDC 00048-1140-05

NDC 00048-1140-05

levothyroxine 200 mcg Tab at Lodi Memorial Hospital Association Inc

Lodi, CA

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Last updated: Aug 2, 2026

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