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NDC 67457026510

67457-0265-10 - levETIRAcetam Soln

Reported by 42 hospitals in the network.

National pricing summary

Low

$1

Average

$54

Median

$8

High

$394

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$47$91$102$170$37
2Bluffton Health System LLCBluffton, IN$28$73$72$107$25
3Warsaw Health System LLCWarsaw, IN$73$204$203$325$69
4Lutheran Musculoskeletal Center LLCFort Wayne, IN$42$86$93$176$33
5St. Joseph Health System, LLCIN 46802, IN$43$102$110$178$41
6Dupont Hospital LLCIN 46825, IN$46$97$105$170$39
7Durant HMA LLCDurant, OK$89$478$394$573$166
8Victoria of Texas LPVictoria, TX$0$1$2$7$2
9Victoria of Texas LPVictoria, TX$0$1$2$7$2
10Cocke County HMA, LLCNewport, TN$0$1$1$2$1
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