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
California
Hospital Address Code Price Last Updated
Roseville Medical Center 1600 Eureka Rd, Roseville J0641 $25 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco J0641 $25 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills J0641 $25 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento J0641 $25 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch J0641 $25 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto J0641 $25 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville J0641 $25 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro J0641 $25 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek J0641 $25 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara J0641 $25 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento J0641 $25 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond J0641 $25 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon J0641 $25 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City J0641 $25 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo J0641 $25 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael J0641 $25 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco J0641 $25 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno J0641 $25 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose J0641 $25 [source] 4 years ago
Corona Regional Medical Center 800 S. Main Street, Corona J0641 $236 [source] 4 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula J0641 $256 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale J0641 $301 [source] 4 years ago
Los Robles Regional Medical Center 215 West Janss Rd, Thousand Oaks J0641 $1,530 [source] 4 years ago
Riverside Community Hospital 4445 Magnolia Ave, Riverside J0641 $1,893 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta J0641 $2,395 [source] 4 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar J0641 $2,395 [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.