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
Florida
Hospital Address Code Price Last Updated
Gulf Breeze Hospital 1110 Gulf Breeze Parkway, Gulf Breeze J0641 $55 [source] 4 years ago
Baptist Hospital 1000 West Moreno St, Pensacola J0641 $55 [source] 4 years ago
Jay Hospital 14114 Alabama Street, Jay J0641 $87 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando J0641 $112 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park J0641 $204 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando J0641 $204 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka J0641 $204 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando J0641 $204 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee J0641 $204 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach J0641 $254 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton J0641 $295 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton J0641 $295 [source] 4 years ago
West Florida Hospital 8383 N Davis Hwy, Pensacola J0641 $722 [source] 4 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte J0641 $1,036 [source] 4 years ago
Capital Regional Medical Center 2626 Capital Medical Blvd, Tallahassee J0641 $1,198 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City J0641 $1,675 [source] 4 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville J0641 $1,733 [source] 4 years ago
St. Petersburg General Hospital 6500 38Th Ave N, Saint Petersburg J0641 $1,784 [source] 4 years ago
Ocala Health 1431 Sw 1St Ave, Ocala J0641 $1,995 [source] 4 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach J0641 $2,046 [source] 4 years ago
Jfk Medical Center 5301 S Congress Ave, Lake Worth J0641 $2,056 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland J0641 $2,608 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring J0641 $3,192 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula J0641 $3,192 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills J0641 $3,533 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach J0641 $4,696 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills J0641 $5,232 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares J0641 $5,488 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa J0641 $6,752 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa J0641 $6,752 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa J0641 $6,752 [source] 4 years ago
Adventhealth Medical Group 1395 S Pinellas Ave, Tarpon Springs J0641 $7,347 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City J0641 $8,245 [source] 4 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales J0641 $8,825 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala J0641 $8,825 [source] 4 years ago
Adventhealth Winter Garden 10987 Sheldon Rd Ste 100, Tampa J0641 $13,241 [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.