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  4. /NDC 17478050410

NDC 17478050410

Methylene Blue IV Soln 1% at Sanford Fargo Medical Center

Fargo, ND

Pricing by billing methodology

Price type

All methodologies

$339

Aggregated across all available billing methodologies for this code.

Case rate

$9

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

Fee schedule

$5

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

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

Percent of billed charges

$623

Reflects a negotiated percentage of total billed charges.

Other

—

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

Last updated: Mar 4, 2026

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