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Leucovorin Injection

Arizona rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Rates data updated July 2026.

Facilitymedian $10 · 10th–90th $6$190%10%10th90th$10Professionalmedian $6 · 10th–90th $4$120%10%20%10th90th$6$2.0$5.0$10.0$20.0$50.0$100.0

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
$6.31
Median
$9.55
Typical High
$16.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$5.62
Typical High
$12.30
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$4.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$13.18
Typical High
$23.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$6.92
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$6.31
Typical High
$7.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$10.96
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$4.37
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$5.13
Typical High
$5.89
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$4.37