NDC 50242004164

ALTEPLASE BOLUS INJECTION (RADIOLOGY) at Memorial Hospital of Laramie County

Cheyenne, WY

Pricing by billing methodology

Price type

All methodologies

$680

8–80 samples

Case rate

$98

Fee schedule

Not reported

Per diem

Not reported

Percent of billed charges

$695

6–60 samples

Other

$695

2–20 samples

Last updated: Mar 25, 2026

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