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Nationwide rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $95.50 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.27 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $4.90 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.80 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.80 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.98 / $4.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $5.75 / $10.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $5.62