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
Texas
Hospital Address Code Price Last Updated
Ascension Providence 6901 Medical Pkwy, Woodway J0641 $1 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo J0641 $343 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo J0641 $349 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass J0641 $388 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg J0641 $436 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen J0641 $436 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen J0641 $436 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison J0641 $674 [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 §180.