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
Indiana
Hospital Address Code Price Last Updated
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville J0640 $3 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis J0640 $3 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon J0640 $3 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville J0640 $3 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport J0640 $3 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem J0640 $3 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood J0640 $3 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford J0640 $3 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester J0640 $3 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel J0640 $3 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson J0640 $3 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis J0640 $3 [source] 4 years ago
Iu Health Bedford Hospital 2900 W 16Th St, Bedford J0640 $5 [source] 4 years ago
Franciscan Health Mooresville , Mooresville J0640 $266 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil J0640 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, J0640 $6,012 [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.