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
Idaho
Hospital Address Code Price Last Updated
Bear Lake Memorial Hospital 164 S 5Th St, Montpelier J0640 $9 [source] 4 years ago
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene J0640 $94 [source] 4 years ago
Caribou Memorial Hospital 300 S 3Rd W, Soda Springs J0640 $154 [source] 4 years ago
Eastern Idaho Regional Medical Center 3100 Channing Way, Idaho Falls J0640 $211 [source] 4 years ago
St. Joseph Regional Medical Center 415 6Th St, Lewiston J0640 $282 [source] 4 years ago
St. Joseph Regional Medical Center 415 Sixth Street, Lewiston J0640 $282 [source] 4 years ago
Steele Memorial Medical Center 203 S Daisy St, Salmon J0640 $298 [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.