Code: 80177

Description:
HC LEVETIRACETAM, QNT
Other Descriptions:
HC LEVETIRACETAM, QNT
KEPPRA
LEVETIRACETAM
TC KEPPRA QUANT LEVETIRACETAM
LEVETIRACETAM QUEST
LEVETIRACETAM (KEPPRA) (COVN)
LEVETIRACETAM (KEPPRA) (WRD)
LEVITERACCTAM
Keppra SO
Related codes:
Code: 80170
GENTAMICIN PEAK QN
Code: 80171
GABAPENTIN NEURONTIN QN
Code: 80172
DRUG SCREEN QUANTITATIVE GOLD
Code: 80173
HALOPERIDOL HALDOL QN
Code: 80174
IMIPRAMINE (TOFRANIL) QN
Code: 80175
LAMOTRIGINE LAMICTAL QN
Code: 80176
LIDOCAINE QN
Code: 80178
LITHIUM QN
Code: 80179
DRUG ASSAY SALICYLATE
State Average # Hospitals In Database
New Jersey (NJ) $28 4
Arkansas (AR) $30 4
West Virginia (WV) $32 8
Pennsylvania (PA) $35 13
Maryland (MD) $40 15
Michigan (MI) $45 44
Colorado (CO) $50 4
Illinois (IL) $62 2
Oregon (OR) $63 4
New Mexico (NM) $64 2
North Dakota (ND) $66 7
California (CA) $73 58
Oklahoma (OK) $75 4
Delaware (DE) $76 2
New York (NY) $78 5
Washington (WA) $80 7
District of Columbia (DC) $85 2
Minnesota (MN) $87 34
Arizona (AZ) $91 11
Florida (FL) $95 129
Rhode Island (RI) $99 4
North Carolina (NC) $100 26
Connecticut (CT) $101 12
Idaho (ID) $103 14
Massachusetts (MA) $110 21
Alaska (AK) $113 2
Ohio (OH) $126 15
Kentucky (KY) $133 15
Virginia (VA) $135 11
Louisiana (LA) $139 4
Wisconsin (WI) $141 35
Alabama (AL) $148 21
Wyoming (WY) $149 3
Utah (UT) $157 4
Nebraska (NE) $157 11
Missouri (MO) $164 13
Maine (ME) $169 5
Hawaii (HI) $176 9
Vermont (VT) $183 3
Tennessee (TN) $196 14
Nevada (NV) $208 23
South Dakota (SD) $210 17
South Carolina (SC) $228 17
Texas (TX) $242 96
Iowa (IA) $256 5
New Hampshire (NH) $257 8
Georgia (GA) $285 24
Mississippi (MS) $303 6
Indiana (IN) $410 38
Kansas (KS) $808 14
ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.