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
Alabama
Hospital Address Code Price Last Updated
Baptist South 2105 E South Blvd, Montgomery J0640 $8 [source] 4 years ago
Prattville Baptist 124 S Memorial Dr, Prattville J0640 $8 [source] 4 years ago
Bibb Medical Center 208 Pierson Ave, Centreville J0640 $18 [source] 4 years ago
Brookwood Baptist Medical Center 2010 Brookwood Medical Ctr Dr, Birmingham J0640 $18 [source] 4 years ago
Andalusia Health 849 South Tree Notch Street, Andalusia J0640 $20 [source] 4 years ago
Children's Of Alabama 1600 7Th Ave S, Birmingham J0640 $52 [source] 4 years ago
Coosa Valley Medical Center 315 W Hickory St, Sylacauga J0640 $66 [source] 4 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.