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
Nebraska
Hospital Address Code Price Last Updated
Chi Health St. Francis 2116 W Faidley Ave, Grand Island 80177 $31 [source] 3 years ago
Chi Health Nebraska Heart 7500 So. 91St St., Lincoln 80177 $138 [source] 3 years ago
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln 80177 $144 [source] 3 years ago
Chi Health St. Mary 1301 Grundman Blvd, Nebraska City 80177 $152 [source] 3 years ago
Chi Health Schuyler 1721 Colfax St, Schuyler 80177 $158 [source] 3 years ago
Chi Health Plainview 704 N 3Rd St, Plainview 80177 $158 [source] 3 years ago
Chi Health Lakeside 17201 Wright St, Omaha 80177 $189 [source] 3 years ago
Chi Health Midlands 11111 S 84Th St, Papillion 80177 $189 [source] 3 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha 80177 $189 [source] 3 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha 80177 $189 [source] 3 years ago
Chi Health Good Samaritan 10 E 31St St, Kearney 80177 $194 [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.