NDC 4354734506
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
levETIRAcetam 500 mg Tb24 60 each BOTTLE
Low
$1
Average
$3
Median
$2
High
$7
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Allina Health Systems Cambridge, MN | $2 | $2 | $1 | 43% | 72–81 | $0 – $4 |
| 2 | Allina Health Systems Owatonna, MN | $2 | $2 | $1 | 43% | 70–79 | $0 – $4 |
| 3 | Allina Health Systems Shakopee, MN | $1 | $1 | $0 | 20% | 41 | $0 – $4 |
| 4 | Virginia Commonwealth University Health System Authority Richmond, VA | $7 | $7 | — | — | — | $7 – $52 |
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