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
Georgia
Hospital Address Code Price Last Updated
Emory University Hospital Decatur 2165 N Decatur Rd , Decatur J0640 $38 [source] 4 years ago
Emory University Hospital 1364 Clifton Rd Ne, Atlanta J0640 $47 [source] 4 years ago
Eastside Medical Center 1700 Medical Way, Snellville J0640 $54 [source] 4 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville J0640 $136 [source] 4 years ago
Memorial Health 4700 Waters Avenue, Savannah J0640 $169 [source] 4 years ago
Adventist Health System Georgia Inc 1035 Red Bud Rd Ne, Calhoun J0640 $265 [source] 4 years ago
Murray Medical Center, Inc. 104 Hospital Dr, Chatsworth J0640 $311 [source] 4 years ago
Redmond Regional Medical Center 501 Redmond Rd, Rome J0640 $319 [source] 4 years ago
Coliseum Health System 350 Hospital Dr, Macon J0640 $388 [source] 4 years ago
Memorial Satilla Health 1900 Tebeau St, Waycross J0640 $441 [source] 4 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun J0640 $518 [source] 4 years ago
Adventhealth Murray 707 Old Dalton Ellijay Rd, Chatsworth J0640 $538 [source] 4 years ago
Adventist Health System Georgia, Inc 170 Curtis Pkwy Ne, Calhoun J0640 $1,275 [source] 4 years ago
Doctors Hospital Of Augusta 3651 Wheeler Rd, Augusta J0640 $1,590 [source] 4 years ago
Fairview Park Hospital 200 Industrial Boulevard, Dublin J0640 $1,668 [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.