NDC 57770005500

HYPROMELLOSE 2 INTRAOCULAR SOLN at The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania

Philadelphia, PA

Pricing by billing methodology

Price type

All methodologies

$148

Case rate

$227

Fee schedule

$227

Per diem

Not reported

Percent of billed charges

$133

Other

$227

Last updated: Feb 10, 2026

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