Sagent

LEUCOVORIN CALCIUM - Cost

Last Updated: April 1st, 2024

HCPCS:

J0640

HCPCS Code Descriptor:

Injection, leucovorin calcium, per 50 mg

Medicare Payment Limit:

The LEUCOVORIN CALCIUM Medicare Payment Limit is $5.137

Average Sale Price:

LEUCOVORIN CALCIUM ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The LEUCOVORIN CALCIUM Medicare Co-insurance percentage is 20%. LEUCOVORIN CALCIUM's Medicare Co-insurance amount is $1.03 per HCPCS unit.

APC Code:

The Leucovorin Calcium APC Code is: not available

APC Payment Limit:

The APC Payment Limit for LEUCOVORIN CALCIUM is not available.

Leucovorin Calcium Cost Information:

LEUCOVORIN CALCIUM, manufactured by Sagent, became effective on January 1, 1997 and is aligned to J Code: J0640. There are 39 NDCs mapped to J0640 with potential errors or discrepancies found within these mappings. WAC and AWP have remained constant from 2018 to 2024. ASP has fluctuated immensely during this time with a nearly 40% increase in the middle of 2023.

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Leucovorin Calcium’s wholesale acquisition cost (WAC) information was last updated on:
December 18, 2023
Leucovorin Calcium’s average wholesale price (AWP) information was last updated on:
December 18, 2023