go back

Connecticut rates for HCPCS J0640

Leucovorin Calcium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $9.00 / $250.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $5.39 / $10.08
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
$3.22 / $3.22 / $3.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.22
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.34 / $4.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $3.54 / $8.28