NDC 904712361
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 250 MG PO TABS
Low
$1
Average
$1
Median
$1
High
$2
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $1 | $1 | — | — | — | $0 – $1 |
| 2 | Allina Health Systems Ulm, MN | $2 | $2 | $0 | 5% | — | $1 – $3 |
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