NDC 00143-9368-01
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
LEUCOVORIN CALCIUM 200 MG IJ SOLR
Low
$53
Average
$53
Median
$53
High
$53
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Gundersen Luthern Medical Center Inc La Crosse, WI | $53 | $53 | — | — | — | $53 – $53 |
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