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  4. /NDC 67457-0855-00

NDC 67457-0855-00

ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION at Vanderbilt Bedford Hospital

Shelbyville, TN

Pricing by billing methodology

Price type

All methodologies

$5

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

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

Fee schedule

$2

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

$98

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: Oct 1, 2025

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