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Arizona rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $41 · 10th–90th $6$1410%10%10th90th$41Professionalmedian $11 · 10th–90th $3$1820%10%10th90th$11$2.0$10.0$50.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $61.66 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $12.02 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $12.30 / $21.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $7.41 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $5.89 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $10.96 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $5.75 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.80 / $4.37