45629-0134-01 (CPT) by state — Price Transparency

CPT · across United States

45629-0134-01 — Nf-fotivda Oral Cap 1.34mg

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$2,625 National median

$2,240 – $3,601 IQR (p25 – p75)

1 hospitals filing

1 states

View hospital-by-hospital → Raw rate rows →

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 45629-0134-01 (CPT), with interquartile range
State	Median	p25	p75
LA	$2,625	$2,240	$3,601

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

LA	$2,625	$2,240	$3,601	$2,105	$4,664	1 ⚠ thin data	6	7