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
Arizona
Hospital Address Code Price Last Updated
Canyon Vista Medical Center 5700 E. Highway 90, Sierra Vista 80177 $45 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of East Valley 5652 East Baseline Road, Mesa 80177 $52 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Northwest Tucson 1921 W Hospital Dr, Tucson 80177 $52 [source] 3 years ago
Encompass Health Valley Of The Sun Rehabilitation Hospital 13460 N 67Th Ave, Glendale 80177 $52 [source] 3 years ago
Encompass Health Rehabilitation Institute Of Tucson 2650 N Wyatt Dr, Tucson 80177 $52 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Scottsdale 9630 E Shea Blvd, Scottsdale 80177 $52 [source] 3 years ago
Abrazo Central Hospital 2000 West Bethany Home Rd., Phoenix 80177 $66 [source] 3 years ago
Abrazo West Campus 13677 West Mcdowell Rd., Peoria 80177 $83 [source] 3 years ago
Carondelet St. Mary's Hospital 1601 W. St. Mary's Road, Tucson 80177 $179 [source] 3 years ago
Carondelet St. Joseph's Hospital 350 N. Wilmot Road, Tucson 80177 $180 [source] 3 years ago
Carondelet Holy Cross Hospital 1171 W. Target Range Road, Nogales 80177 $187 [source] 3 years ago

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.