Code: J0642

Description:
Description: Injection, levoleucovorin (khapzory), 0.5 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
Related codes:
Code: J0640
LEUCOVORIN CA 50 MG INJ
Code: J0641
LEVOLEUCOV NOS 50MG INJ
Florida
Hospital Address Code Price Last Updated
Baptist Hospital 1000 West Moreno St, Pensacola J0642 $378 [source] 4 years ago
Gulf Breeze Hospital 1110 Gulf Breeze Parkway, Gulf Breeze J0642 $378 [source] 4 years ago
Jay Hospital 14114 Alabama Street, Jay J0642 $596 [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.