go back

Leucovorin Injection

Alaska rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $4$270%20%40%10th90th$5Professionalmedian $6 · 10th–90th $4$110%20%10th90th$6$5.0$10.0$20.0$50.0$100.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$8.32
Typical High
$26.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$6.61
Typical High
$11.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$11.48
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$20.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$10.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.89
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.75
Typical High
$42.66