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Alaska rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $5 · 10th–90th $4–$910%20%40%10th90th$5Professionalmedian $3 · 10th–90th $3–$70%20%40%10th90th$3$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $74.13 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.02 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $60.26
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $11.48
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $20.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $10.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.17 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.75 / $42.66