Aggregated across all available billing methodologies for this code.Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.Reflects negotiated fee schedule rates with commercial payers.Reflects a negotiated per diem rate paid per day of care.Reflects a negotiated percentage of total billed charges.Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Jun 17, 2026

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Allina Health Systems
NDC 04354-7345-06

NDC 04354-7345-06

levETIRAcetam 500 mg Tb24 60 each BOTTLE at Allina Health Systems

Rapids, MN

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Last updated: Jun 17, 2026

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