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
Minnesota
Hospital Address Code Price Last Updated
Essentia Health St. Mary's-Detroit Lakes 1027 Washington Ave, Detroit Lakes J0640 $6 [source] 4 years ago
Essentia Health-Duluth (Miller-Dwan Building) 502 E 2Nd St, Duluth J0640 $11 [source] 4 years ago
Essentia Health-Virginia 901 9Th St N, Virginia J0640 $15 [source] 4 years ago
Essentia Health-St. Joseph's Medical Center (Brainerd) 523 N 3Rd St, Brainerd J0640 $19 [source] 4 years ago
Essentia Health-Deer River 115 10Th Ave Ne, Deer River J0640 $20 [source] 4 years ago
Essentia Health-St. Mary's Medical Center 407 E 3Rd St, Duluth J0640 $42 [source] 4 years ago
Essentia Health-Fosston 900 Hilligoss Blvd Se, Fosston J0640 $50 [source] 4 years ago
Essentia Health-Sandstone 705 Lundorff Dr, Sandstone J0640 $59 [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.