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
Massachusetts
Hospital Address Code Price Last Updated
Saint Vincent Hospital 123 Summer St., Worcester J0640 $8 [source] 4 years ago
Metrowest Medical Center - Framingham Union Hospital 115 Lincoln Street, Framingham J0640 $21 [source] 4 years ago
Metrowest Medical Center - Leonard Morse Hospital 67 Union Street, Natick J0640 $21 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge J0640 $32 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton J0640 $32 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston J0640 $32 [source] 4 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs J0640 $53 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket J0640 $56 [source] 4 years ago
Brigham & Women Hospital 75 Francis St, Boston J0640 $63 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain J0640 $79 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown J0640 $177 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls J0640 $237 [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.