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
New Hampshire
Hospital Address Code Price Last Updated
Encompass Health Rehabilitation Hospital Of Concord 254 Pleasant St, Concord 80177 $36 [source] 3 years ago
Wentworth-Douglass Hospital 789 Central Avenue, Dover 80177 $62 [source] 3 years ago
New London Hospital 273 County Rd, New London 80177 $108 [source] 3 years ago
Portsmouth Regional Hospital 333 Borthwick Ave, Portsmouth 80177 $331 [source] 3 years ago
Parkland Medical Center 1 Parkland Dr, Derry 80177 $378 [source] 3 years ago
Frisbie Memorial Hospital 11 Whitehall Road, Rochester 80177 $434 [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.