Code: J0640

Description:
Description: Injection, leucovorin calcium, per 50 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
LEUCOVORIN 10 MG/ML INJ
LEUCOVORIN CA 100 MG INJ
LEUCOVORIN CA 350 MG INJ
LEUCOVORIN CA 500 MG INJ
LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION
LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION
LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION
LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION
LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION
Related codes:
Code: J0641
LEVOLEUCOV NOS 50MG INJ
Code: J0642
Description: Injection, levoleucovorin (khapzory), 0.5 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
State Average # Hospitals In Database
South Dakota (SD) $4 1
New Jersey (NJ) $5 2
New York (NY) $7 1
District of Columbia (DC) $11 1
Washington (WA) $21 2
Oklahoma (OK) $24 4
North Dakota (ND) $25 3
Alabama (AL) $27 7
Minnesota (MN) $28 8
Maryland (MD) $28 7
Vermont (VT) $43 2
Connecticut (CT) $52 6
Maine (ME) $55 5
Illinois (IL) $59 1
Michigan (MI) $60 133
Wisconsin (WI) $62 20
Massachusetts (MA) $64 13
Utah (UT) $64 2
Missouri (MO) $77 8
Wyoming (WY) $78 2
Hawaii (HI) $82 1
Delaware (DE) $84 1
Nebraska (NE) $90 11
Iowa (IA) $90 3
South Carolina (SC) $92 3
North Carolina (NC) $121 25
Alaska (AK) $181 2
Idaho (ID) $193 8
Pennsylvania (PA) $207 1
Kansas (KS) $220 9
Ohio (OH) $264 11
Texas (TX) $331 55
California (CA) $341 40
West Virginia (WV) $344 4
Virginia (VA) $383 5
Georgia (GA) $410 21
Florida (FL) $411 106
New Mexico (NM) $485 2
Indiana (IN) $527 25
Kentucky (KY) $533 7
New Hampshire (NH) $572 7
Colorado (CO) $694 1
Tennessee (TN) $897 10
Nevada (NV) $1,659 17
Louisiana (LA) $3,407 3
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.