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California rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Facilitymedian $8 · 10th–90th $4$3800%10%20%10th90th$8Professionalmedian $12 · 10th–90th $3$2400%10%10th90th$12$1.0$5.0$20.0$100.0$500.0$2.0K

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
$6.92 / $42.66 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $58.88 / $257.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $4.17 / $5.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.98 / $14.13
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.76 / $9.55
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.01 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $6.17 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.27 / $10.96
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.89 / $8.91
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $6.92
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.98 / $6.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.07 / $9.55