HCPCS J0641
Injection, levoleucovorin, not otherwise specified, 0.5 mg
Current code13 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $118 – $175 | — | — |
| Deaconess Medical Center | $108 – $114 | — | — |
| Island Hospital | $111 – $121 | — | — |
| Mary Bridge Children's Hospital | $112 – $121 | — | — |
| MultiCare Auburn Medical Center | $110 – $118 | — | — |
| MultiCare Covington Medical Center | $110 – $118 | — | — |
| MultiCare Good Samaritan Hospital | $112 – $121 | — | — |
| MultiCare Valley Hospital | $107 – $113 | — | — |
| Olympic Medical Center | $138 – $151 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Tacoma General Allenmore Hospital | $112 – $121 | — | — |
| Virginia Mason Medical Center | — | — | — |
| Yakima Valley Memorial | $107 – $125 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.