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California rates for HCPCS J0640

Leucovorin Calcium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $56.83 / $702.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $7.34 / $221.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $4.05 / $4.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.95 / $13.54
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $8.24 / $12.50
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $4.71 / $12.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $3.86 / $8.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $164.71 / $164.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.22 / $4.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $6.96
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $4.98 / $4.98
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.54 / $5.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.41 / $7.09