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
Kentucky
Hospital Address Code Price Last Updated
Manchester Memorial Hospital 210 Marie Langdon Dr, Manchester J0640 $116 [source] 4 years ago
Spring View Hospital 320 Loretto Road, Lebanon J0640 $119 [source] 4 years ago
Meadowview Regional Medical Center 989 Medical Park Drive, Maysville J0640 $132 [source] 4 years ago
Clark Regional Medical Center 175 Hospital Drive, Winchester J0640 $326 [source] 4 years ago
Logan Memorial Hospital 1625 Nashville Street, Russellville J0640 $1,066 [source] 4 years ago
Georgetown Community Hospital 1140 Lexington Rd, Georgetown J0640 $1,918 [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.