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
Maryland
Hospital Address Code Price Last Updated
Sinai Hospital Of Baltimore 2401 W Belvedere Ave, Baltimore J0640 $16 [source] 4 years ago
Upmc Western Maryland 10701 New Georges Creek Rd Sw, Frostburg J0640 $16 [source] 4 years ago
Northwest Hospital Center 5401 Old Court Rd, Randallstown J0640 $20 [source] 4 years ago
The Good Samaritan Hospital 5601 Loch Raven Blvd, Baltimore J0640 $28 [source] 4 years ago
The Union Memorial Hospital 201 E University Pkwy, Baltimore J0640 $35 [source] 4 years ago
The Johns Hopkins Hospital , Baltimore J0640 $36 [source] 4 years ago
Harbor Hospital 3001 S Hanover St, Brooklyn J0640 $47 [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.