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HCPCS J0641 (Fusilev) Fee Schedule

Last Verified: October 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Injection, levoleucovorin, not otherwise specified, 0.5 mg
Key FactDetail
Service Type

Drugs Administered Other than Oral Method

Drugs, Administered by Injection

Common Place of Service

11 - Office

None

10 - Telehealth in Patient's Home

15 - Mobile Unit

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for J0641
Medicare Payment Limit
$0.058BuyandBill.com
WAC Price
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Related NDC Codes

• 00143-9558-01 - LEVOLEUCOVORIN CALCIUM (PF,LYOPHILIZED) 50 MG

• 70436-0209-80 - LEVOLEUCOVORIN CALCIUM (SDV,PF) 10 MG/1 ML

• 71288-0105-18 - LEVOLEUCOVORIN CALCIUM (PF,LATEX-FREE) 10 MG/1 ML


National average reimbursement for HCPCS J0641 by major payers:

bcbs

$0.23

uhc

$0.37

aetna

$0.32

cigna

$0.24

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS J0641.

HCPCS J0641
5 of 25 sample ratesHigher to lower in this preview
  1. The New York And Presbyterian Hospital

    NYGeneral Acute Care HospitalNPI 1780196345Tax ID 13-3957095

    $1.17Published rate
  2. Rothman Orthopaedic Specialty Hospital, LLC, Bucks County Specialty Hospital, LLC

    Rothman Orthopaedic Specialty Hospital LLC

    PAGeneral Acute Care HospitalNPI 1336378132Tax ID 27-0260289

    $0.20Published rate
  3. Legacy Mount Hood Medical Center

    ORGeneral Acute Care HospitalNPI 1255354700Tax ID 93-0591528

    $0.03Published rate
  4. St. Agnes Healthcare, Inc., St.Agnes Hospital

    St Agnes Healthcare Inc

    MDGeneral Acute Care HospitalNPI 1245274901Tax ID 52-0591657

    $0.03Published rate
  5. Childress County Hospital District, Childress Regional Medical Center

    TXGeneral Acute Care HospitalNPI 1326079534Tax ID 75-1228349

    $0.01Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS J0641 vs. Other Drugs, Administered by Injection Codes

The HCPCS J0641 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS J0641 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
00143-9558-01-NDCModerateLEVOLEUCOVORIN CALCIUM (PF,LYOPHILIZED) 50 MG
70436-0209-80-NDCModerateLEVOLEUCOVORIN CALCIUM (SDV,PF) 10 MG/1 ML
71288-0105-18-NDCModerateLEVOLEUCOVORIN CALCIUM (PF,LATEX-FREE) 10 MG/1 ML
J0641-HCPCSLowInjection, levoleucovorin, not otherwise specified, 0.5 mg

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0641. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J0641 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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