Code: J0641

Description:
Description: Injection, levoleucovorin, not otherwise specified, 0.5 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
LEVOLEUCOV NOS 0.5MG INJ
LEVOLEUCOV NOS 250MG INJ
LEVOLEUCOVORIN CALCIUM 50 MG INTRAVENOUS POWDER FOR SOLUTION
LEVOLEUCOVORIN 50MG VIAL
INJECTION LEVOLEUCOVORIN NOS 0.5 MG
Levoleucovorin Calc 50 Mg Vial
LEVOLEUC NOS 0.5MG INJJW
Related codes:
Code: J0640
LEUCOVORIN CA 50 MG INJ
Code: J0642
Description: Injection, levoleucovorin (khapzory), 0.5 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
State Average # Hospitals In Database
Wisconsin (WI) $2 2
Maine (ME) $3 1
Alabama (AL) $4 2
West Virginia (WV) $7 1
Maryland (MD) $9 3
Kentucky (KY) $12 1
Illinois (IL) $44 3
Utah (UT) $110 2
New Hampshire (NH) $110 2
Oklahoma (OK) $178 2
Ohio (OH) $181 3
Hawaii (HI) $185 1
Michigan (MI) $347 1
District of Columbia (DC) $355 1
Texas (TX) $389 9
California (CA) $446 29
North Carolina (NC) $496 17
Missouri (MO) $552 4
Idaho (ID) $572 1
Massachusetts (MA) $638 1
Indiana (IN) $749 17
Nevada (NV) $798 7
Kansas (KS) $1,611 6
Virginia (VA) $1,717 2
Georgia (GA) $2,132 6
Louisiana (LA) $3,102 1
Florida (FL) $3,139 52

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.