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
Wisconsin
Hospital Address Code Price Last Updated
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin J0642 $4 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee J0642 $6 [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.