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NDC 00043-0113-12

simethicone 80 mg Chew Tab at Sonora Community Hospital

Sonora, CA

Pricing by billing methodology

Price type

All methodologies

$4

95–113 samples

Aggregated across all available billing methodologies for this code.

Case rate

$3

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

$3

95–113 samples

Reflects a negotiated percentage of total billed charges.

Other

Not reported

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

Last updated: May 23, 2026

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