0637 — Nystatin 100,000 Unit/gram Topical Powder [39136]
$5,630
All-payer median here
$4,504
Cash / self-pay here
23
payer/plan-name variants
Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.