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  4. /NDC 65145017501

NDC 65145017501

levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback at Baylor Scott & White Medical Center - Taylor

Taylor, TX

Pricing by billing methodology

Price type

All methodologies

$16

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$0

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$16

Reflects a negotiated percentage of total billed charges.

Other

Not reported

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Jun 12, 2026

Compare to other hospitals

See levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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