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
Tennessee
Hospital Address Code Price Last Updated
Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D, Cookeville J0640 $7 [source] 4 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury J0640 $7 [source] 4 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville J0640 $7 [source] 4 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta J0640 $7 [source] 4 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville J0640 $7 [source] 4 years ago
St. Jude Children's Research Hospital , Memphis J0640 $30 [source] 4 years ago
Southern Tennessee Regional Health System - Pulaski 1265 East College Street, Pulaski J0640 $79 [source] 4 years ago
Southern Tennessee Regional Health System - Winchester 185 Hospital Road, Winchester J0640 $719 [source] 4 years ago
Starr Regional Medical Center - Athens 1114 West Madison Ave, Athens J0640 $4,054 [source] 4 years ago
Starr Regional Medical Center - Etowah 886 Highway 411 North, Etowah J0640 $4,054 [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.