Leucovorin calcium injection
This code is not in the latest file (4Q26). It was last listed in 3Q26.
Payment limit per 50 MG, by effective quarter, 1Q21 to 3Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.This code is not in the latest file (4Q26). It was last listed in 3Q26.
Payment limit per 50 MG, by effective quarter, 1Q21 to 3Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.No NDCs mapped to this code in the 4Q26 crosswalk.
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 3Q26 | $2.932 | −$0.659 | 50 MG | Leucovorin calcium injection | v1, posted September 15, 2026 |
| 2Q26 | $3.591 | −$0.249 | 50 MG | Leucovorin calcium injection | v1, posted September 15, 2026 |
| 1Q26 | $3.84 | +$0.622 | 50 MG | Leucovorin calcium injection | v1, posted September 15, 2026 |
| 4Q25 | $3.218 | −$0.729 | 50 MG | Leucovorin calcium injection | v1, posted September 8, 2026 |
| 3Q25 | $3.947 | +$0.434 | 50 MG | Leucovorin calcium injection | v1, posted March 10, 2026 |
| 2Q25 | $3.513 | −$0.649 | 50 MG | Leucovorin calcium injection | v1, posted March 10, 2026 |
| 1Q25 | $4.162 | +$0.092 | 50 MG | Leucovorin calcium injection | v1, posted December 19, 2025 |
| 4Q24 | $4.07 | −$0.356 | 50 MG | Leucovorin calcium injection | v1, posted June 11, 2025 |
| 3Q24 | $4.426 | −$0.711 | 50 MG | Leucovorin calcium injection | v1, posted June 11, 2025 |
| 2Q24 | $5.137 | +$0.667 | 50 MG | Leucovorin calcium injection | v1, posted March 11, 2025 |
| 1Q24 | $4.47 | +$0.009 | 50 MG | Leucovorin calcium injection | v1, posted December 19, 2024 |
| 4Q23 | $4.461 | −$0.237 | 50 MG | Leucovorin calcium injection | v1, posted October 10, 2024 |
| 3Q23 | $4.698 | +$1.292 | 50 MG | Leucovorin calcium injection | v1, posted June 5, 2024 |
| 2Q23 | $3.406 | −$0.196 | 50 MG | Leucovorin calcium injection | v1, posted February 23, 2024 |
| 1Q23 | $3.602 | −$0.418 | 50 MG | Leucovorin calcium injection | v1, posted December 6, 2023 |
| 4Q22 | $4.02 | −$0.353 | 50 MG | Leucovorin calcium injection | v1, posted June 22, 2023 |
| 3Q22 | $4.373 | +$0.579 | 50 MG | Leucovorin calcium injection | v1, posted June 9, 2023 |
| 2Q22 | $3.794 | −$0.648 | 50 MG | Leucovorin calcium injection | v1, posted December 14, 2022 |
| 1Q22 | $4.442 | +$0.785 | 50 MG | Leucovorin calcium injection | v1, posted June 8, 2022 |
| 4Q21 | $3.657 | +$0.028 | 50 MG | Leucovorin calcium injection | v1, posted June 2, 2022 |
| 3Q21 | $3.629 | +$0.405 | 50 MG | Leucovorin calcium injection | v1, posted June 2, 2022 |
| 2Q21 | $3.224 | +$0.492 | 50 MG | Leucovorin calcium injection | v1, posted March 1, 2022 |
| 1Q21 | $2.732 | – | 50 MG | Leucovorin calcium injection | v1, posted December 10, 2021 |
“Change” is the difference from the previous quarter, shown only when both quarters have a payment limit and the billing unit is the same. “vs. last quarter” and “vs. a year ago” follow the same rule.