Levetiracetam 500 mg/5 ml intravenous solution cost in Wisconsin
LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION · HCPCS J1953
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| SSM Health Waupun Memorial Hospital | Waupun | not published | $0.06 – $0.13 | 5 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $0.07 – $0.09 | 3 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $0.07 – $0.09 | 3 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $0.07 – $0.09 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $0.06 – $0.13 | 5 |
| SSM Health Ripon Community Hospital | Ripon | not published | $0.06 – $0.13 | 5 |
| SSM Health Monroe Hospital | Monroe | not published | $0.05 – $0.16 | 6 |