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
Georgia
Hospital Address Code Price Last Updated
Fairview Park Hospital 200 Industrial Boulevard, Dublin J0641 $1,483 [source] 4 years ago
Adventist Health System Georgia, Inc 170 Curtis Pkwy Ne, Calhoun J0641 $2,261 [source] 4 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun J0641 $2,261 [source] 4 years ago
Murray County Memorial Hospital Authority 707 Old Dalton Ellijay Rd, Chatsworth J0641 $2,261 [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.