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
Indiana
Hospital Address Code Price Last Updated
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville J0641 $3 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis J0641 $3 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon J0641 $3 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville J0641 $3 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport J0641 $3 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem J0641 $3 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood J0641 $3 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford J0641 $3 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester J0641 $3 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel J0641 $3 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson J0641 $3 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis J0641 $3 [source] 4 years ago
Franciscan Health Munster , Munster J0641 $239 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil J0641 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, J0641 $6,012 [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.