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NDC 67457025510

67457-0255-10 - levETIRAcetam Soln

Reported by 37 hospitals in the network.

National pricing summary

Low

$1

Average

$37

Median

$5

High

$315

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$47$91$102$170$37
2Bluffton Health System LLCBluffton, IN$23$59$57$85$20
3Lutheran Musculoskeletal Center LLCFort Wayne, IN$42$86$93$176$33
4St. Joseph Health System, LLCIN 46802, IN$43$102$110$178$41
5Victoria of Texas LPVictoria, TX$1$2$3$9$3
6Victoria of Texas LPVictoria, TX$1$2$3$9$3
7Cocke County HMA, LLCNewport, TN$0$1$1$2$1
8Jefferson County HMA LLCJefferson City, TN$0$1$1$2$1
9Metro Knoxville HMA LLCKnoxville, TN$0$1$1$1$0
10Metro Knoxville HMA LLCPowell, TN$0$1$1$2$0
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