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
Missouri
Hospital Address Code Price Last Updated
Belton Regional Medical Center 17065 S. 71 Highway, Belton J0641 $401 [source] 4 years ago
Research Medical Center 2316 E Meyer Blvd, Kansas City J0641 $600 [source] 4 years ago
Centerpoint Medical Center 19600 East 39Th Street, Independence J0641 $608 [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.