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Colorado rates for HCPCS J0640

Injection, leucovorin calcium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $82.27 / $475.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.57 / $182.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $5.80 / $10.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $6.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.22
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $3.41 / $5.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $3.54 / $5.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.53 / $10.53 / $10.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.22