NDC 63323-0664-01

INJECTION, LEVOTHYROXINE SODIUM (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J0650, 10 MCG at Portland Adventist Medical Center

Portland, OR

Pricing by billing methodology

Price type

All methodologies

$260

Case rate

Not reported

Fee schedule

$481

Per diem

Not reported

Percent of billed charges

$275

Other

Last updated: May 26, 2026

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