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NDC 13925052201

PENTAMIDINE ISETHIONATE 300 MG INHALATION SOLR at Pennsylvania Hospital of the University of Pennsylvania Health System

Philadelphia, PA

Pricing by billing methodology

Price type

All methodologies

$325

Aggregated across all available billing methodologies for this code.

Case rate

$542

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$89

Reflects negotiated fee schedule rates with commercial payers.

Per diem

$73

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

Percent of billed charges

$325

Reflects a negotiated percentage of total billed charges.

Other

$542

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

Last updated: Mar 20, 2026

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